Claim submission guidelines

The following article provides the requirements of the form locators within the CMS-1450 (UB-04) paper claim form and their electronic equivalents.

First Coast has seen an increase in claims for drugs, hemophilia clotting factors, and skin substitutes that exceed the dollar amounts above $99,999.99. Effective for claims received on or after…

Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the errors on your claims.

Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the errors on your claims.

Read this article, which provides billing guidance for acute kidney injury.

Review this article if your claim is returning for reason code 326x4.

First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.

First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.

To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.

Read this article to learn more about submitting high dollar claims for single use vials.