Appeals
Submit Part A appeals and claim corrections electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…
Appeal tips: Documentation to include with your Part A redetermination request
Learn what documentation to include when submitting a Medicare Part A appeals request.
Appeals status lookup tool: Part B help guide
This help document guides you through using the appeals status lookup tool on First Coast's Medicare provider website.
Tutorial: Completing the Medicare Part B redetermination and clerical error reopening request form
Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.
Claims and appeals for CPT 93010 performed in emergency room setting
Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.
Positron emission tomography (PET) for oncologic conditions: Modifier usage
The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this article to learn more about billing these services correctly.