Last Modified: 6/22/2022
Location: FL, PR, USVI
Business: Part A, Part B
Effective June 21, 2022, First Coast updated both the standard
Prior Authorization Request (PAR) coversheets with new fields to improve the submission and response processes. The new fields include the facility fax number, the physician fax number, and a field relating to the implanted spinal neurostimulator.
Based on provider feedback, adding the new facility fax number field and a new physician fax number field will enable both parties to receive the prior authorization decision letters. Please include both fax numbers to ensure the decision letters are received by the facility and the physician. If you’re submitting for procedure code 63650 (implanted spinal neurostimulator), the new field allows you to indicate if it’s for a trial or permanent implant.
For the coversheet, the term ‘facility’ relates to the hospital outpatient department where the services requiring prior authorization will be performed. The term ‘physician’ relates to the physician performing the services.
Please note that it’s important that all fields on the cover sheet are completed to avoid delays in the 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.