Claims

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

First Coast is responsible to ensure compliance with the credit balance reporting process. The information provided below offers a brief explanation of how the CMS-838 credit balance reports should…

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.

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

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.

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

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…