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Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
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This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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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: 2/6/2021
To be considered filed timely, a claim must be submitted no later than one year after the date of service. If a claim is returned to the provider, it has not been filed successfully.
Modified: 5/28/2019
This article provides guidance for billing provider-liable acute inpatient noncovered and acute partial inpatient noncovered days, and acute inpatient noncovered beneficiary-liable days.
Modified: 8/6/2021
View this article to learn about First Coast’s new coversheet for hardcopy UB-04 form submissions.
Modified: 8/5/2021
Use this form before doing a hardcopy claim submission.
Modified: 8/3/2021
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: 7/30/2021
Correct coding requires services to be reported with the most specific code available that appropriately describes the service. Review this article to learn more about the appropriate use of not otherwise classified codes when billing drugs and biologicals.
Modified: 5/2/2021
This FAQ provides information on timely filing of claims.
Modified: 11/6/2020
This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast Service Options to resolve an overlapping claim.
Modified: 9/10/2020
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) 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.
Part A