Eligibility elimination from the IVR
The option to obtain patient eligibility information from the interactive voice response (IVR) system was eliminated on December...
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Update of the 2025 dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review
Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug...
Electronic Billing Newsletter: Library index
View the most recent release of our Electronic Billing Newsletter. This newsletter is published quarterly and includes important...
Provider audit master information form
This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate...
Electronic remittance advice -- what you need to know
This article contains the background information and resources you need regarding electronic remittance advice.
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...
EDI: CMS-1450 paper claim to electronic claim crosswalk (5010)
The following article provides the requirements of the form locators within the CMS-1450 (UB-04) paper claim form and their...
PC-ACE User Guide: Section 10 - Exiting PC-ACE including backup/restore
To exit the PC-ACE software program
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Click on the word File from the PC-ACE Main Toolbar and click on Exit.
You will be prompted...
PC-ACE User Guide: Section 7 - Prepare/Reactivate claims for transmission
Prepare new claim for transmission
- Click the Institutional or Professional Claims Processing icon from the PC-ACE Main Toolbar.
- Se...
First Coast HTTPS CAQH CORE compliant connectivity guide
This connectivity guide provides trading partners with instructions on how to successfully exchange electronic transactions with...