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Processing Issues

Modified: 3/25/2019
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 4/10/2019
Therapy claims adjusted due to the QMB remit issue are now denying for timeliness. These claims will be reprocessed by First Coast.
Modified: 3/20/2019
CMS has added several diagnosis codes to the list of covered conditions for ICR services billed with HCPCS codes G0422 or G0423, effective February 9, 2018. When brought to its attention, First Coast will override medical policy edits to allow for processing and payment of these codes for these conditions. Providers should contact customer service to request claims reprocessing. [MM11117]
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.
Part A