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Last Modified: 5/10/2019 Location: FL, PR, USVI Business: Part B, Part A

Secure Provider Online Tool (SPOT) Claim Data/Reopening FAQs

list item Why can’t I access claims or payment information for an individual practitioner from our organization?
list item What are the restricted modifiers and procedure codes that cannot be corrected through the reopening process using SPOT?
list item How do I access a claim I wish to reopen? How will I know if any of the line items associated with a claim are eligible?
list item What types of changes may I include in a claim reopening request? May I change more than one field on each line item? Can I add or remove line items?
list item I am unable to edit a field when trying to reopen a claim; how can I resolve this?
list item How do I check the status of a reopening request I submitted?
list item How do I check the outcome of my first-level appeals (redeterminations) in SPOT?
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.