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. For the most comprehensive experience, we encourage you to visit or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 4/10/2020 Location: FL, PR, USVI Business: Part B, Part A

Claim Reopening: Check status FAQ

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.

How to determine if a claim reopening request was submitted successfully (Part A/B)

If your claim reopening request was submitted through SPOT successfully:
SPOT will display a confirmation page with your confirmation number
You will receive a confirmation email from TheSPOTPortal.

How to know if your request has been approved or denied (Part B)

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.