Last Modified: 11/4/2019
Location: FL, PR, USVI
Business: Part B, Part A
Some of the top inquiries to First Coast’s Provider Contact Center are on the provider enrollment process. These inquiries can range from general questions about which form to complete to specific questions about development letters on applications that have been submitted. To help you understand these questions and to reduce the development letters sent on applications, three new provider enrollment videos have been produced to provide helpful information for preventing provider enrollment inquiries and application development. The videos are only three-to-five minutes long and offer an interactive way to learn about your most common questions.
The Centers for Medicare & Medicaid Services (CMS) 588 electronic funds transfer (EFT) form is completed to receive EFT in the Medicare program. It is a common inquiry and reason for development due to information completed incorrectly on the form. Please review this video for more information.
CMS requires providers to revalidate their provider enrollment information. If a response is not provided for the revalidation or development request for a revalidation, then a provider is deactivated. Once reactivated, the provider may have a gap in their eligibility which leads to inquiries. Please review this video for more information.
Within the CMS-855 applications and the enrollment process, providers supply their individual and organizational names. The names supplied must match legal documentation for their applications to be approved. If the names do not match, the provider can experience extended processing times. Please review this video for more information.
Recently added: Individual providers complete the CMS-855I application for various reasons, including when they own their own practice. A common misunderstanding when completing the CMS-855I for individual providers is the difference between a sole owner and a sole proprietor enrolling in the Medicare program. Please review this video for more information.
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.