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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.
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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. Information for Medicare beneficiaries is only available on the medicare.gov website.
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Tools center

Self-service tools
This page features a one-stop shop for all of First Coast's self-service tools. If you need help on a particular tool, we encourage you to look for related guides on the help page.
Legend: lookup Lookup   lookup Worksheet   lookup Calculator
SPOT offers registered users the convenience of online access to essential Medicare data, including claim status, payment history, benefits/eligibility information, and data reports.
First Coast's fee schedule lookup tool provides fee and policy information for most Medicare-covered procedure codes.
Select from a list of fee schedules to obtain Medicare fee-for-service allowances and other information for physicians and/or other providers.
lookup Search by LCD ID, keyword (title only), or HCPCS code:
lookup Search by multiple keywords or diagnosis codes:
Use the website search functionality on any page filtering by "LCDs only".
Provider enrollment
This versatile application allows you to check the status of new and updated Medicare enrollment applications.
Find out whether you have been sent a request to revalidate your Medicare enrollment record.
Use the enrollment application assistance tool to determine the application recommended for your situation
Use this interactive worksheet to assist with identifying the appropriate E/M code based upon either the 1995 or 1997 E/M documentation guidelines.
Use of this interactive tool will assist with identifying the appropriate application of incident-to requirements.
Claims
This calculator will assist you in determining when additional documentation requested by First Coast must be received.
Electronic Data Interchange (EDI)
Request a reload of your acknowledgement information via the provider website. Once the request is processed, the information will be sent directly to your EDI gateway mailbox.
Request a reload of your remittance advice information via the provider website. Once the request is processed, the information will be sent directly to your EDI gateway mailbox.
Use this lookup application to find easy-to-read descriptions of the error codes produced on your HIPAA 5010 277CA – Claim Acknowledgement.
Appeals
Use this lookup tool for confirmation that appeal requests have been received by First Coast.
This interactive page features detailed descriptions of all five appeal levels and five calculators (one for each level) that will help you determine when you must submit your request based upon the date of either the initial claim determination or the preceding appeal level.
Billing/Coding
Use this calculator to determine a beneficiary's ESRD coordination period.
Use this lookup application to find modifier details such as description, indicators, effective dates, payer information, and more.
Identify negative billing patterns before they become troublesome trends with this detailed analytical report. Use the PDS through First Coast's Secure Provider Online Tool (SPOT) to request this useful report and enhance the accuracy and efficiency of your Medicare billing process.
Learn how to access comparative data that Medicare considers when determining how a provider’s billing patterns contrast with others within the same peer group.
Search CERT CID
The Comprehensive Error Rate Testing (CERT) claims identifier (CID) lookup was developed so providers can obtain a status of their CERT sampled claims. This tool provides information for sampled claims where a decision has been made by the CERT review contractor or is pending review.
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.