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.
Join eNews       En Español
Text Size:
YouTube LinkedIn Email Print
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 10/4/2022 Location: FL, PR, USVI Business: Part A, Part B

How do providers prepare documentation for submission?

Q: How do providers prepare documentation for submission?
A: The Initial Notification Letter includes a documentation checklist to help providers prepare documentation for submission. The documentation checklist can also be found under targeted probe and educate review topics
Once an ADR is received, a provider should do the following:
Collect all requested documentation
Verify all documentation requested is included in your submission
For prepay reviews, attach the first page of the original ADR request letter as the coversheet to the records, for post-pay reviews individual fax coversheets are provided for use. 
If you are responding to multiple MR ADR requests, clearly separate the documentation for each claim by inserting the first page for each ADR letter separately for the applicable documentation that pertains to that ADR letter/individual fax coversheet. Multiple responses sent together, but not separated, may result in the documentation being imaged as one claim or claim may be rejected completely.
How satisfied are you with the Medical Review process?
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.