Claims

A claim on status T (RTP) was returned to provider for corrections. The assigned reason code will provide you instructions for the necessary corrections.

To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.

Read this article for tips on how to prevent RUC CO 181.

First Coast offers several options for claim submission and status. Submitting electronically saves time, reduces costs, and provides immediate confirmation of receipt. 

First Coast offers several options for claim submission and status. Submitting electronically saves time, reduces costs, and provides immediate confirmation of receipt. 

Read this article for tips on how to prevent RTP 12206.

Read this article for tips on how to prevent RTP 30960.

Use the links on this page to learn how to avoid common denials and claims rejections.

This job aid was prepared by the Part A/B and home health and hospice (HHH) MAC collaboration team to help providers that experience claim rejections for overlapping dates of service.

Read this article to learn more about submitting high dollar claims for single use vials.