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Last Modified: 12/18/2020 Location: FL, PR, USVI Business: Part B

Claim Reopening Gateway: History correction feature is here

The “history correction” feature is here! The new feature allows you to easily reprocess claims that previously denied based on the beneficiary’s file and due to the file being updated, can now be considered for payment. This feature is specific to file updates for the beneficiary’s Medicare Part B entitlement, Medicare secondary payer, health maintenance organization/Medicare Advantage plan, and hospice periods. This feature also allows a claim to be reprocessed that is denied for Medically Unlikely Edits due to a claim being submitted to Medicare twice in error. As a reminder, the gateway is a free, web-based application that allows for automated submission of claim corrections with no enrollment process.
First Coast Service Options (First Coast) 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.