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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: 7/1/2019
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: 5/26/2019
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 6, 2019, to add language that the MBI lookup tool can be used to obtain an MBI even for patients in a Medicare Advantage Plan. All other information remains the same. [SE18006]
Modified: 5/22/2019
Find resources and information on the new Medicare cards. This article includes a link to MLN Matters special edition article SE18006, which was revised on March 6, 2019, to add language that the MBI lookup tool can be used to obtain an MBI even for patients in a Medicare Advantage Plan.
Modified: 5/15/2019
Medicare Beneficiary Identifiers can sometimes change. View these scenarios from CMS for when to use the old or new MBI.
Modified: 5/6/2019
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: 3/21/2019
This FAQ provides information on timely filing of claims.
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.
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