Claims

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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.

YouTube video: Avoid Medicare claim rejects that should be submitted to a Medicare Advantage plan

Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.

YouTube video: Avoid Medicare claim rejects that should be submitted to a Medicare Advantage plan

Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.

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…

CMS-1500 (02/12) data element requirements

This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form and the electronic equivalent elements.

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.

New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part A

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

New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part B

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.

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.