Appeals

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Submit Part B financial documentation requests 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 reminder for medically unlikely edits (MUEs)

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.

Before you appeal a claim or request a redetermination

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

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.

Tools & forms: Appeals

Use these self-service tools and forms to appeal claim decisions.

Tools & forms: Appeals

Use these self-service tools and forms to appeal claim decisions.

Tools & forms: Overpayments

Find the appropriate forms to report or dispute an overpayment.

Tools & forms: Overpayments

Find the appropriate forms to report or dispute an overpayment.

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.