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Processing Issues

Modified: 11/8/2019
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 11/8/2019
First Coast is aware of a problem with the HIPAA Eligibility Transaction System (HETS) Medicare Secondary Payer (MSP) data, where new or updated data is not being returned. A resolution has been identified and CMS expects this issue to be resolved by later November.
Modified: 11/4/2019
Change request (CR) 10955 (implemented April 1, 2019) revised existing CWF SNF CB edit 7275 and the associated informational unsolicited response (IUR). Edit 7275 is denying Part B ambulance claims inappropriately.
Modified: 10/17/2019
Entitlement dates were missing from new and/or updated beneficiaries processed at CWF between October 7 and October 9, 2019. This caused claims to reject incorrectly with CWF error code 5200.
Modified: 9/11/2019
Due to a system error, some claims for nonparticipating providers were paid incorrectly resulting in overpayments. These claims will be reprocessed and overpayment letters will be issued.
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.