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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Paperwork (PWK)
Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their...
Submit Part B claims and correct claims billed in error 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...
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...
PC-ACE User Guide: Section 5 - Flu, pneumonia, COVID-19, hepatitis B, or monoclonal antibody (mAb) infusion injection roster billing
Roster billing is available for Part B providers that bill for influenza, pneumonia, COVID-19, hepatitis B, and Monoclonal...
First Coast’s approved 5010 vendor list
This is a list of electronic billing vendors, billing services and clearinghouses who have passed X12N 837 (5010 errata) testing...
Physician and allowed practitioner certification and recertification of home health services
Physician or allowed practitioner services involving certification and recertification of Medicare-covered home health services...
Care management services
Care management services are covered under the Medicare program. View information regarding care management services, including...
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...