Claim submission guidelines

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Mammography coverage and certification of mammography facilities

Read this article for information on mammography coverage and certification of mammography facilities.

Drugs and biologicals Part A: Using the JW and JZ modifiers

The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a single-dose containers. Read this article to understand how these modifiers…

Avoid rejection of paper claims

First Coast made changes to how we handle paper claims marked for "other insurance." Review this article to avoid claim rejections of this kind.

When not to show patient paid amounts on claims

First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim…

Returned to provider claims affect timely filing

A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned to the provider have not been filed successfully.

How contractors may request assistance with overlapping claims

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

How contractors may request assistance with overlapping claims

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

Common definitions for claim submission types

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

Billing unlisted drug procedure codes J3490 and J9999

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