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Processing Issues

Modified: 10/28/2022
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 10/28/2022
Partial hospitalization program claims are editing incorrectly. Read more to learn about this issue.
Modified: 10/25/2022
The end stage renal disease (ESRD) treatment choices (ETC) model adjustment was applied incorrectly. Read more to learn about the resolution.
Modified: 10/21/2022
The US District Court vacated the differential payment rates for 340B-acquired drugs. Read more to learn about the resolution and the actions providers need to take.
Modified: 10/4/2022
CMS identified a national system issue which may have inadvertently adjusted previously processed Part B claims with dates of service (DOS) on or after January 1, 2021. These adjustments processed on July 29 through August 2, 2022.
Modified: 9/15/2021
A claim processing issue has been identified that potentially impacts all Cohort 1 Primary Care First (PCF) participants that submitted claims for flat visit fee (FVF) eligible services processed between January 1, 2021, and February 3, 2021.
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.