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Last Modified: 8/16/2019 Location: FL, PR, USVI Business: Part B

Changes for Part B paper claim form submitters

First Coast Service Options, Inc. (First Coast) is implementing instructions from the Centers for Medicare & Medicaid Services (CMS) under the change request (CR) 10034 external pdf file. This CR provides instructions to the Medicare Administrative Contractors (MACs) for one of the phases in extending the number of lines processed under one internal control number (ICN) in the Part B claims system. The ultimate goal for this implementation is to limit claims to 50 lines and no longer split claims at 13 detail lines per claim.
What you need to know about this phase
Effective for claims processed on or after January 7, 2019, Part B paper claims will be limited to 50 detail lines. Claims with more than 13 lines will continue to split until a later date.
Note: This 50 line limitation does not impact electronic claim submitters as they are already limited to 50 claim lines.
Please ensure your billing and coding staff that submits claims on the CMS-1500 paper claim form are made aware of this upcoming change.
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.