Common inquiries - Part A
Reduce the time you spend contacting Medicare
First Coast's Part A provider contact center frequently receives inquiries from our provider community about a wide array of topics. Listed below are some of the most popular topics as well as links to information that will help you find the answers you need to resolve any issues quickly and easily.
If you have a question related to:
Appeals status / explanation / resolution - see appeals related information
Beneficiary's eligibility or entitlement to Medicare - see eligibility FAQs
Claim in suspense or pending completion
- Claim pending 30 days or less - please allow up to 14 days for claims submitted electronically and 30 days for paper claims to complete processing.
- Claim in suspense or pending more than 30 days - view all processing issues
- Claim not on file - see the article What to do when you can't locate your claim
- Claim rejected - see reject reason codes
- Claim returned - see return to provider (RTP) reason codes
- Medicare secondary payer (MSP) - see all MSP articles
- Overlapping claims and overpayments - see claims FAQs
- Processing Issues - see the table
- Other FAQs
Additional tips
Use the following tips to help you find the answers you need about these additional topics:
- View questions about accessing claim status, patient eligibility (Medicare, MSP and Medicare Advantage [formerly Medicare HMO]), deductible information, and financial information (last three checks, month / year to date dollar amounts).
For inquiries other than those listed above, contact First Coast’s provider contact center. When calling the provider contact center, make sure you have all the information necessary for the call. You can do this by viewing the provider inquiry checklist.