Getting started with direct data entry (DDE)

First Coast is pleased to offer DDE to our Medicare Part A providers. DDE will allow you to perform the following functions: 

DDE claim entry

You can enter new claims directly into the Medicare Part A claims processing system. You can use this function to supplement your current electronic claim submission method. 

DDE claim correction

You can correct claims, which have been moved to a “return to provider” status. This status indicates that there is information missing from the claim that is necessary for processing. 

Claim status information

You can access historical claim data, including paid, denied, suspended, “return to provider” status, and rejected claim information. 

Claim adjustment

You can create online adjustments to your paid and rejected claims. 

Inquiry applications

You can access updated file references, which can provide information for Healthcare Common Procedure Coding System (HCPCS) and revenue code verification. 

Establishing a connection

DDE requires a connectivity service provided by an external company to establish the connection. Prior to using DDE you must have established a connection. Below is a list of third-party connectivity vendors and their contact information. We do not exclusively endorse a specific vendor and suggest you research to ensure the services offered are the best solution for your business.

Complete the required forms: 

DDE user ID request form: for help completing this form, view these instructions.

EDI enrollment form: required when there is not one on file for the provider

Once your application has been processed, you will be sent your DDE User IDs. You will need to work directly with the vendor of your choice for connectivity.