Electronic Submission Method |
Submission Instructions |
Additional Resources |
---|---|---|
SPOT |
SPOT is a FREE, secure internet portal for Part A and B customers to use to easily connect directly to First Coast. SPOT provides quick access to a number of time-saving features. To submit a redetermination request, select the Appeals Requests/Outcome from the Appeals submenu from the SPOT toolbar and then select the Submit an Appeals button. |
To learn more and enroll for SPOT, visit the SPOT webpage. |
Fax |
The fax to image option allows for documentation to be submitted directly to First Coast: • Fax to 904-361-0593 • Faxes should not exceed 200 pages • Complete the form in its entirety • Send all supporting documents for service(s) rendered |
For more information and to access the fill and print redetermination form, visit the Appeals webpage. |
esMD |
The esMD portal allows providers and suppliers to securely submit electronic medical documentation for first and second level appeals. |
To sign up for esMD, visit Electronic Submission of Medical Documentation (esMD) on the CMS website. |
Electronic Submission Method |
Submission Instructions |
Additional Resources |
---|---|---|
SPOT |
SPOT is a FREE, secure internet portal for Part A and B customers to use to easily connect directly to First Coast. SPOT provides quick access to a number of time-saving features. To submit a reconsideration request, select the L2 – Reconsideration Request link from the claim status page. |
To learn more and enroll for SPOT, visit the SPOT webpage. |
Appeals Portal |
For instructions on using the C2C appeals portal, please visit C2C Innovative Solutions. | |
Fax |
For secure electronic submission of standard appeals, fax to QIC Part A East for all regions: • 904-539-4074 |
To learn more about C2C Innovative Solutions, review the web page for QIC Part A East. |
esMD |
The esMD portal allows providers and suppliers to securely submit electronic medical documentation for first and second level appeals. |
To sign up for esMD, visit Electronic Submission of Medical Documentation (esMD) on the CMS website. |
Electronic Submission Method |
Submission Instructions |
Additional Resources |
---|---|---|
SPOT |
SPOT is a FREE, secure internet portal for Part A and B customers to use to easily connect directly to First Coast. SPOT provides quick access to a number of time-saving features. To submit a redetermination request, select the Appeals Requests/Outcome from the Appeals submenu from the SPOT toolbar and then select the Submit an Appeals button. You must include the UB-04 claim form with documentation to support an override exception. |
To learn more and enroll for SPOT, visit the SPOT webpage. |
Fax |
The fax to image option allows for documentation to be submitted directly to First Coast: • Fax to 904-361-0593 • Faxes should not exceed 200 pages • Complete the form in its entirety • Send all supporting documents for service(s) rendered |
For more information and to access the fill and print redetermination form, visit the Appeals webpage. |
Electronic Submission Method |
Submission Instructions |
Additional Resources |
---|---|---|
FISS |
Access to the FISS system allows customers to perform multiple billing functions such as keying claims via Direct Data Entry (DDE), checking claim status, performing claim corrections, and much more. |
Visit our DDE webpage for more information on registering for and using DDE. |
Free software |
Medicare offers the following software programs: • PC-ACE - free billing software for creating claims and translating reports • PC-Print - free software for interpreting and printing the X12N 835 Electronic Remittance Advice (ERA) |
Visit our Electronic data interchange (EDI) webpage to learn more about this software. |
Billing service/clearinghouse |
Providers can opt to have their claims sent to First Coast by a billing service or clearinghouse. Refer to the article A step-by-step guide to getting started submitting electronic claims for further assistance. |
Visit our Approved 5010 vendor list for further information. |