SPOT FAQs
FAQ Categories
SPOT
Refer to: Restricted codes for claim reopenings
No. Each MFA device must be used for the SPOT account for which it’s registered.
Yes. It is recommended that you register more than one MFA device. To register a second or third device, refer to Multifactor authentication registration.
No, users are not permitted to share accounts. Each user much register for their own account.
No, the IDM authentication system will only send one passcode to one device at a time. However, secondary devices should be registered in the event the first MFA device does not generate. Refer to Multifactor authentication and SPOT registration for details.
Refer to: Requesting SPOT end user role
To use the SPOT, you must complete the full new user registration process. If you attempt to log on to SPOT before the enrollment form is processed and the role request has been approved, a permission error message will be returned. If the full registration process is complete and you still receive this error the following business day, clear your internet browser’s cache and try again. If you continue to have issues or are unsure of the status of your SPOT access request, you may contact the SPOT Help Desk (855-416-4199 option 1).
CMS’ IDM collects your personal information, described as data that is unique to you as an individual, such as name, address, telephone number, Social Security number, and date of birth. IDM uses this personal information only to verify your identity. Your information will be sent to Experian, an external identity verification provider, to help us confirm your identity. The elements above must match between your IDM profile and your Experian credit report.
The questions and answers are strictly between you and the remote identity proofing (RIDP) service, Experian. Neither First Coast nor IDM will store the information you submit through RIDP. Experian is required by law to securely maintain this data for seven years. For more information regarding how CMS uses the information you provide, please refer to the CMS Privacy home page.
Refer to section 6 of the SPOT User Guide.
Refer to section 8 of the SPOT User Guide.
There are two tabs under eligibility that will provide helpful information regarding other insurance.
The Medicare Advantage plan tab will provide you with the name, address, and other information for a patient’s Medicare Advantage plan, if applicable. The MSP (Medicare secondary payer) tab will provide the reason that Medicare is secondary, as well as the other insurance effective date and term dates, name, policy number and address.
Any other insurance the patient may have to coordinate benefits with, including claim crossover information, is not available through the eligibility feature.
All eligibility information is received from the HIPAA Eligibility Transaction System (HETS). If HETS is unavailable or experiencing any system issues, information may not be available.
Also, if the beneficiary is enrolled as a Qualified Medicare Beneficiary (QMB), deductible information may not be available at the time of the query. HETS indicates periods during which the beneficiary is enrolled as a QMB and will indicate the beneficiary owes $0 for Medicare Part A and B deductibles, coinsurance, or copayments. This information will be displayed under the QMB tab within SPOT.
QMB beneficiaries have no legal liability to pay Medicare providers for Medicare Part A or Part B cost-sharing. For these beneficiaries, providers may bill state Medicaid agencies which are responsible for covering Medicare cost-sharing, though the beneficiary may also have other secondary payers (e.g., VA, tribes, Medigap).
No, the SPOT user will need to do a password reset.
No, this type of inquiry does not affect your credit score. You will not incur any charges related to this inquiry. When identity proofing, Experian creates something called a soft inquiry. Soft inquiries are visible only to you, the consumer, and no one else. Soft inquiries have no impact on your credit report, history, or score other than being recorded and maintained for 23 months.