skip to content
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.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
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. Information for Medicare beneficiaries is only available on the medicare.gov website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]

EDI news

EDI Support

General/password help:
888-670-0940 option-1
ABILITY | PC-ACE ™:
888-670-0940 option-2
DDE:
888-670-0940 option-3
Enrollment:
888-670-0940 option-4
Modified: 4/13/2017
Due to the Health Insurance Portability and Accountability Act (HIPAA), change request 9666, 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, 2017. [CR 9666]
Modified: 4/6/2017
Effective March 2, 2015, all Medicare EDI Trading Partners submissions and retrievals are required to use a Network Service Vendor (NSV) for connectivity to the EDI Gateway.
Modified: 3/29/2017
The Centers for Medicare & Medicaid Services (CMS) is in the process of implementing operating rules adopted under Section 1104 of the Affordable Care Act.
Modified: 3/3/2017
The Centers for Medicare & Medicaid Services (CMS) recently released change request (CR) 9906, which revises Chapters 12, 17, and 23 of the Medicare Claims Processing Manual to ensure that all remittance advice coding is consistent with national standard operating rules. [MM9906]
Modified: 3/3/2017
The Centers for Medicare & Medicaid Services (CMS) recently released change request (CR) 9878 which updates the remittance advice remark code (RARC) and claim adjustment reason code (CARC) lists. CR 9878 also calls for an update to Medicare Remit Easy Print (MREP) and PC Print software. If you use MREP or PC Print software, be sure to obtain the latest version that is released on or before July 3, 2017. [MM9878]
Modified: 2/27/2017
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 7330]
Modified: 2/26/2017
To improve claims processing and improve readability success rates with its optical character recognition (OCR) systems, First Coast Service Options Inc. (First Coast) has redesigned its PWK fax and mail cover forms for providers who submit unsolicited additional documentation with their claims.
Modified: 1/11/2017
First Coast's claims department and providers are being negatively impacted by a high volume of invalid or unnecessary PWK fax/mail coversheets. This article reviews information on how you can avoid these issues. [CR 7330]
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.