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Processing Issues

Modified: 7/8/2020
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 7/8/2020
First Coast will allow claims submitted with specific ‘Z’ diagnosis codes under the COVID-19 Public Health Emergency.
Modified: 6/5/2020
From January 26 through February 16, 2020, a software issue caused skilled nursing facility (SNF) claims to be incorrectly canceled with a message that there was no three-day qualifying hospital stay. This article provides information concerning reprocessing of claims related to unsolicited response 7123.
Modified: 6/5/2020
CMS has updated coverage conditions for TAVR for treatment of symptomatic aortic valve stenosis with CED, effective June 21, 2019. When brought to our attention, First Coast will override medical policy edits to allow for processing and payment of these services. [CR 11660]
Modified: 3/10/2020
An incorrect allowance for code A9588 was loaded into the system effective for claims with dates of service beginning January 1, 2020. Beginning March 5, 2020, claims are being priced based on the invoice amount; claims that were underpaid will be adjusted.
Modified: 1/9/2019
There are no items in this section at this time.
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.