Due to the Health Insurance Portability and Accountability Act (HIPAA), change request 11341, and electronic data interchange (EDI) front-end updates, the Centers for Medicare & Medicaid Services has implemented 5010 837P and 837I transaction edits, effective January 1, 2020 with an implementation date of January 6, 2020. [CR 9881]
First Coast Service Options Inc. (First Coast) has implemented the PWK (paperwork) segment of the X12N version 5010. This allows for submission of supporting documentation with a version 5010 electronic claim. [CR 10397]
First Coast identified an issue with 837 files rejecting in error that has been resolved. If you believe that your 277CA report with reject code A8:496:85 should not have rejected, please retransmit your files.
First Coast's claims department and providers are negatively impacted by invalid or unnecessary PWK fax/mail/esMD coversheets. This article reviews information on how you can avoid these issues.
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.