Claim submission guidelines

First Coast is providing new billing and coding instructions for hemophilia clotting factor products. Effective for claims processed on or after September 13, 2021, hemophilia clotting factor…

For Part B providers with multiple billing PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.

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.

This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast to resolve an overlapping claim.

This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast to resolve an overlapping claim.

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…

When billing for unlisted drug codes, include the name, strength, and dosage of the drug.

See common definitions for claim submission types that may impact your billing.