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Claim submission guidelines

Tired of paper?

Secure Provider Online Tool (SPOT)

Did you know you can check claim status and find eligibility and benefits data online?
Modified: 2/3/2019
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.
Modified: 2/12/2019
Prepare for new Medicare cards by viewing these available resources.
Modified: 2/6/2019
Are you submitting claims for non-covered dental services to receive the denial? Review this article for details on submitting claims for these non-covered services.
Modified: 2/6/2019
Are you submitting paper claims? When completing the claim form, ensure to use all capital typeface. This article addresses important instructions regarding completion of the paper claim form.
Modified: 2/4/2019
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.
Modified: 2/1/2019
This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast Service Options to resolve an overlapping claim.
Modified: 2/1/2019
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.
Modified: 1/25/2019
This special edition article concentrates on the date(s) of service to submit when billing certain services. Providers need to determine the Medicare rules and regulations concerning the date of service and submit claims appropriately. This article was reissued on January 24, 2019, to clarify information. [SE17023]
Modified: 1/8/2019
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
Modified: 12/22/2018
This FAQ provides information on timely filing of claims.
Modified: 12/5/2018
When billing for unlisted drug codes, include the name, strength, and dosage of the drug. [CMS IOM Pub 100-04, Ch. 17]
Modified: 11/28/2018
Medicare Beneficiary Identifiers can sometimes change. View these scenarios from CMS for when to use the old or new MBI.
Modified: 11/27/2018
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form.
Modified: 11/27/2018
Are you submitting paper claims? This article addresses important changes to the CMS-1500 paper claim form, which became effective April 1, 2014, and could affect your claim submissions.
Modified: 10/15/2018
This tutorial focuses on areas of the CMS-1500 (02/12) form where errors occur, including items containing NPI numbers.
Modified: 10/15/2018
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.
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.