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Last Modified: 5/18/2018 Location: FL, PR, USVI Business: Part B

Common inquiries -- Part B

What SPOT Can Do For You

"With our snowbirds, we have to stay on top of their eligibility status," said one Medicare billing manager who uses First Coast's SPOT to access eligibility information. "Having fast access to Medicare eligibility and secondary payer information helps us file clean, accurate claims and get reimbursed sooner."
Click here to find out what SPOT can do for you.

New Medicare beneficiary cards are being mailed between April 2018 and April 2019

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, requires the Centers for Medicare & Medicaid Services (CMS) to remove Social Security numbers (SSNs) from all Medicare cards by April 2019. A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Medicare number on new Medicare cards starting in April 2018 for Medicare transactions like billing, eligibility status, and claim status. Find more details here.

Reduce the time you spend contacting Medicare

First Coast Service Options’ Part B provider contact center frequently receives inquiries from members of the provider community about a wide array of topics. Listed below are some of the most popular topics as well as links to information that will help you find the answers you need to resolve any issues quickly and easily.

If you have a question related to:

Appealing a claim -- click here
Claim denials -- click here
Claim not on file -- click here
Claims denied as a duplicate -- click here
Clerical error reopenings -- click here
Coding errors -- see Billing and coverage FAQs
Contact information -- click here
Medicare as a secondary payer (MSP) -- click here
Modifiers/global surgery -- see Billing and coverage FAQs
Obtaining a patient's eligibility information -- see Eligibility FAQs
Obtaining a copy of a remittance notice -- click here
Offset (monies withheld) on your remittance notice -- click here
Payment calculation for MSP -- click here
Payment explanation -- click here
Payment floor -- see Payment floor FAQs
Provider enrollment applications, status or information -- click here
Reopening a claim -- click here
Revalidation initiative -- see Revalidation FAQs
Status of resolution of a claim appeal -- see Appeal process FAQs
Other common tips on inquiries and denials -- click here
Other frequently-asked questions -- click here

Additional tips

Use the following tips to help you find the answers you need about these additional topics:
Click here for questions about accessing claim status, patient eligibility (Medicare, MSP and Medicare Advantage [formerly Medicare HMO]), deductible information, and financial information (last three checks, month/year to date dollar amounts).
For inquiries other than those listed above, contact First Coast’s Provider contact center. When calling the Provider contact center, make sure you have all the information necessary for the call. You can do this by viewing the Provider inquiry checklist
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.