Claims
Claim submission & status
First Coast offers several options for claim submission and status. Submitting electronically saves time, reduces costs, and provides immediate confirmation of receipt.
Credit balance reporting
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly
2024-2025 flu season codes priced incorrectly.
Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly
2024-2025 flu season codes priced incorrectly.
Claims adjusted in error due to an issue that affected some professional claims for the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model
CMS is aware of an issue that occurred on July 26 that affected some 2021-2024 professional claims for the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH)…
Incorrect rejections for Medicare secondary payer (MSP) claims
An issue was identified regarding incorrect Medicare secondary payer (MSP) rejections related to billing and submission errors. Claims will be held until the fix is implemented. Once the fix is…
Incorrect rejections for Medicare secondary payer (MSP) claims
An issue was identified regarding incorrect Medicare secondary payer (MSP) rejections related to billing and submission errors. Claims will be held until the fix is implemented. Once the fix is…
Reject reason codes
A status R claim is a claim that was rejected for reasons such as Medicare eligibility, billing issues like overlapping with another provider’s claim, Medicare Secondary Payer (MSP) provisions,…