Last Modified: 10/29/2021
Location: FL, PR, USVI
Business: Part A
First Coast is pleased to offer Direct Data Entry (DDE) to our Medicare Part A providers. DDE will allow you to perform the following functions:
You can enter new claims directly into the Medicare Part A claims processing system. You can use this function to supplement your current electronic claim submission method.
You can correct claims, which have been moved to a “return to provider” status. This status indicates that there is information missing from the claim that is necessary for processing.
You can access historical claim data, including paid, denied, suspended, “return to provider” status, and rejected claim information.
You can create online adjustments to your paid and rejected claims.
You can access updated file references, which can provide information for Healthcare Common Procedure Coding System (HCPCS) and revenue code verification.
DDE requires a connectivity service provided by an external company to establish the connection. Prior to using DDE you must have established a connection. Below is a list of third-party connectivity vendors and their contact information. We do not exclusively endorse a specific vendor and suggest you research to ensure the services offered are the best solution for your business.
Once your application has been processed, you will be sent your DDE User IDs. You will need to work directly with the vendor of your choice for connectivity.
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.