First Coast is implementing a new process to reduce provider burden and process claims more efficiently. If you submit claims for skin substitutes or radiopharmaceutical codes, learn how this new process will benefit you.
This fact sheet is designed to provide guidance to health care professionals and suppliers who transmit health care claims electronically or use paper claim forms. It includes information about Medicare claims submissions, coding, submitting accurate claims, when Medicare will accept a hard copy claim form, timely filing, and where to submit FFS (fee for service) claims.
There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare. This article was most recently revised March 19, 2020, to clarify that the beneficiary’s first name, last name, date of birth, and SSN are needed to use the MBI lookup tool. All other information remains the same. [SE18006]
First Coast Service Options (First Coast) has noticed an increase in errors on the CMS-1500 (02/12) claim form. This article addresses important instructions regarding completion of the paper claim form.
First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim and provides solutions when assignment is accepted.
Tired of having claims returned because you didn't complete the primary insurance section of the CMS 1500 (02/12) form? This short tutorial focuses on how to complete the patient information section of the CMS-1500 (02/12) form.
As of January 1, 2020, you may only submit the MBI on Medicare claims. If not, Medicare will reject claims submitted with the health insurance claim number.
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.