Last Modified: 11/4/2020
Location: FL, PR, USVI
Business: Part B
Minor errors or omissions may be corrected outside of the appeals process.
Part B clerical reopening requests may be submitted online through SPOT, the reopening gateway, or via telephone through the interactive voice response (IVR) system.
The SPOT offers registered users the time-saving advantage of correcting clerical errors in their eligible Part B claims quickly, easily, and securely -- online.
To begin, search for the claim you wish to correct by its ICN or by its date(s) of service in Claim Status. The SPOT will automatically determine if any line items are eligible and prepopulate the online request form accordingly.
The Claim Reopening Gateway is an interactive tool that requires no registration or enrollment, and offers a quick and easy way to make Part B claim corrections directly on the First Coast website. For instructions on how to use the reopening gateway, view the help guide
. Providers are encouraged to have the claim remittance advice readily available for proper utilization of the gateway.
If you don’t have online access, you may submit your Part B clerical reopening request through First Coast’s IVR system. Although the IVR offers the same primary request types as the SPOT, the IVR offers the additional option of making history corrections to your claim.
To access your claim through the IVR, you must enter the billing provider’s information (i.e., NPI, PTAN, and TIN), the beneficiary’s information (i.e., name, date of birth, Medicare number), and the ICN of the claim you wish to correct.
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.