Claim submission guidelines
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Did you know you can check claim status and find eligibility and benefits data online?
This article outlines the process for timely filing overrides for the provider community.
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.
This article provides guidance on how to avoid claim errors when billing current procedural terminology codes 98960, 98961 and 98962.
This article provides billing guidance when a beneficiary is admitted as inpatient prior to their Medicare Part A entitlement date.
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
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.
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. must be received.
First Coast Service Options (First Coast), frequently requires a clinical review of records to determine the medical necessity of services.
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form.
This tutorial will demonstrate the diagnosis relationship lookup tool to assist in determining if a procedure to diagnosis relationship exists for the procedure performed.
First Coast was recently 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.
When billing for unlisted drug codes, include the name, strength, and dosage of the drug. [CMS IOM Pub 100-04, Ch. 17]
To facilitate the successful completion of Part A to B rebilling, First Coast Service Options’ (First Coast) has prepared these tips to help submitters avoid billing errors.
This tutorial focuses on areas of the CMS-1500 (02/12) form where errors occur, including items containing NPI numbers.
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.
This document outlines instructions -- for Medicare administrative contractors (MAC) -- regarding how to request assistance from First Coast Service Options (First Coast) to resolve an overlapping claim.
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.
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.