SPOT features and functionality

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Home ► SPOT News ► SPOT features and functionality

Last Modified: 5/29/2025 Location: FL, PR, USVI Business: Part A, Part B

SPOT features and functionality	Part A	Part B
1099 Forms Submit and retrieve 1099 forms	X	X
ACO REACH Obtain Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model information	X	X
Appeal Development Letters View letters requesting additional information needed to process an appeal	X	X
Appeal Requests Submit appeal requests with documentation	X	X
Appeal Status Obtain information regarding status of appeals, including the outcome and copies of redetermination notices	X	X
AR Transaction Info Obtain account receivable details including recoupment, adjustment, collection amounts, and duplicate demand letters	X	X
Claim Correction Make basic corrections to claims that include the number of services or units, diagnosis codes, procedure codes and certain history corrections		X
Claim Correction Confirmation Receive confirmation on claim correction submissions		X
Claim Status Obtain the status of a claim that is accepted into the claim processing system	X	X
Claim Submission/ERA Upload 837 claim files for processing and download 835 ERA files to review claim processing outcomes	X	X
Claim Summary View claim summary information per provider such as the number of claims approved to process, claims pending, and more	X	X
Comparative Billing Report (CBR) Obtain reports, which provide insight into billing trends, and assist providers with self-audits of procedures and billing practices		X
Credit Balance Report Submission Submit quarterly credit balance reports electronically, rather than by mail	X
DCN Lookup Lookup document control number (DCN) information	X
Demand Letter / Overpayment Details Obtain overpayment / demand letters and corresponding financial details	X	X
Eligibility Check patient eligibility and obtain benefit details	X	X
FCN Lookup Lookup financial control number (FCN) information		X
General inquiry Submit general inquiries such as questions related to coverage guidelines, policy issues, or how to bill Medicare	X	X
MBI Lookup Tool Look up patient Medicare beneficiary identifier (MBI) numbers	X	X
Medical Review Claims View additional documentation request (ADR) status and dates, copies of ADR letters, and status and outcome of the review	X	X
Medical Records/ADR Respond to both Claim and Medical ADR requests for additional information or medical record submissions	X	X
MSP Overpayment Refund Submit a request for an MSP overpayment to be performed		X
Non-MSP Overpayment Refund Submit a request for a non-MSP overpayment to be performed		X
Overpayment Correction Submit corrections to claims that were overpaid.		X
Overpayment Demand Letters View, save, or print copies of overpayment letters	X	X
Overpayment Redetermination Report a duplicate claim, services not rendered, or other correction on a single line or full claim.		X
Payment Status Obtain check information such as check number, amount, dates, and check status.	X	X
Prior Authorization Requests Part A and B: • Hospital outpatient department (OPD) services Part B only: • Submit prior authorization requests for Part B repetitive non-emergent ambulance transportation	X	X
Provider Audit & Reimbursement Submit documentation to Provider Audit & Reimbursement including supplemental security income (SSI) realignment requests, wage index/occupational mix submissions, cost report reopening requests, and more	X
Provider Data Summary Submit documentation to Provider Audit & Reimbursement including supplemental security income (SSI) realignment requests, wage index/occupational mix submissions, cost report reopening requests, and more	X	X
Redetermination Notices Obtain the outcome of appeal decisions by viewing copies of the Redetermination Notices	X	x
Remittance Advice View, save, or print copies of the remittance like the standard paper remittance (SPR)	X	X
Submission History Review submission history details	X	X

For instructions on using these features once enrolled for SPOT, access the links below:

The SPOT: User Guide

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.