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Last Modified: 7/28/2022 Location: FL, PR, USVI Business: Part B

How to use SPOT to submit appeals and check status

SPOT offers providers a convenient way for Part B providers to submit appeal requests - specifically level-one appeals - also called redeterminations.
This type of appeal is separate from reopenings, which occur outside of the appeals process, and are how providers correct minor errors or omissions on their claims. (Note: Reopenings can also be done via SPOT; view information here.

Submit redeterminations

Part B providers can easily submit redeterminations via SPOT.
Access the redetermination form by selecting Submit an Appeal from the Appeals submenu
Complete the form, upload supporting documentation, and click Submit

How to check your appeal outcome

Select Appeals Outcome from the Appeals menu
The Find the Outcome of Appeals form will appear
Enter information in the search form and click Submit
Part B possible outcomes:
Fully favorable
Unfavorable
Partially favorable
Dismissal
Dismissal – incomplete redetermination
Change in liability – unfavorable
Withdrawal
Pending

Need more guidance?

View the SPOT User Guide for more details on submitting appeals and all of SPOT’s features and functions.

We’d love to hear from you

Please take a few minutes to let us know about your experience with the redetermination process.
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.