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Last Modified: 8/5/2022 Location: FL, PR, USVI Business: Part A, Part B

Complete the SPOT claim submission agreement today

A new claim submission feature will be available this fall in SPOT! This new feature will allow you to upload electronic claim files directly to First Coast. A claim submission agreement form is required to receive the new claim submission feature in SPOT. It must be completed by an existing organization’s office approver or office backup approver before September 2022 to be visible with the fall portal redesign changes.
If your organization would like the ability to submit claims through SPOT, click the form link below to complete the agreement today.
Please read the important notes below about this claim submission agreement:
The agreement is only needed once for each SPOT submitter ID/organization and must be submitted by the approver or backup approver.
If your office has an approver and a backup approver, please coordinate so that the form is only submitted once.
Be sure to list your Submitter ID, not your SPOT user ID. You may locate your Submitter ID within IDM external link under the Manage My Roles tile, or on the approval letter received when your organization was approved for SPOT access.
If your organization has more than one Submitter ID, a form will be required for each Submitter ID.
The online claim submission agreement is only for existing SPOT organizations. The updated SPOT enrollment form will include the necessary agreement terms for any new user requests. The enrollment form is not needed for existing organizations to receive this feature.
If the online form was already completed with the link from this page, it does not need to be submitted again when you receive an email with the link or the popup in SPOT when you initially login. Do not complete this form more than once for the same organization (unless your organization has multiple Submitter IDs).
This form is only required if your organization plans to submit claims through SPOT. It is not required for organizations that do not wish to opt-in to access SPOT’s claim submission feature.
To submit claim files with this new feature, the claim files must first be created in a separate program and be in the current ANSI X12N 837 5010 format. The PC-ACE software program can create those files and is available for free through the SPOT enrollment process.
If you are not familiar with SPOT – it is the secure provider online tool available to all First Coast providers, billing services, and clearinghouses. All offices billing First Coast are encouraged to enroll and experience the many benefits of SPOT. If you are not yet enrolled, access our website for the details on how to register today.
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.