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First Coast Service Options Inc.
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Last Modified: 4/3/2011 Location: FL, PR, USVI Business: Part B

Claim denial

• Before contacting customer service, check claim status though the IVR. The IVR will release necessary details around claim denials.
• Ensure all information on a claim is correct before submitting to Medicare.
• Example: The date(s) of service (DOS) on the claim should correspond to the number of units/days being billed.
• Refer to the Claim completion FAQs, Billing issues FAQs, and Unprocessable FAQs on the FCSO Medicare provider website for additional information on why claims may deny and how to correct this.
• You may also refer to the Top Part B claim denials and RUCs tip sheets for tips and resources on correcting and avoiding certain claim denials.
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Source: FCSO Education Action Team
First Coast Service Options (FCSO) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.