Last Modified: 4/10/2020
Location: FL, PR, USVI
Business: Part B, Part A
Q: How do I know if my claim reopening request was successfully submitted? What will happen if my request has been approved?
A: Part A and Part B SPOT users may submit claim reopening requests directly to the appeals system by using SPOT’s “Reopen/correct a claim” option under the Appeals menu.
If your claim reopening request was submitted through SPOT successfully:
• SPOT will display a confirmation page with your confirmation number
• If your request to reopen the claim has been approved, you will receive a new remittance advice notification, which will list the adjusted claim amount and the new ICN for the adjusted claim.
Note: The ICN of the adjusted claim will be different from the ICN of the original claim.
• If your request to reopen the claim was not approved, you will receive a letter or telephone call notifying you of the decision.
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.