Articles

Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process...

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their...

This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.

View these submission guidelines when submitting prior authorization requests for certain hospital outpatient department...

Access tools and forms related to the prior authorization program, CERT, and provider audit.

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...

Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted...

Learn how to complete the the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance...

When submitting prior authorization requests, be aware of response timeframes and documentation guidelines.

Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you...