Appeals

Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.

Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.

View this new provider roadmap for guidance through the Medicare process.

View this new provider roadmap for guidance through the Medicare process.

Find the appropriate forms to appeal claim decisions.

Find the appropriate forms to appeal claim decisions.

Claims that are returned as unprocessable cannot be appealed. So what do you do with them? An unprocessable claim is one that is filed with incomplete and/or invalid information. This article…

Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.

Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.

We'd like to remind providers of medical documentation you'll need to submit when filing a redetermination or clerical error reopening for a claim (or line item) denied due to an MUE.