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SPOT offers registered users the convenience of online access to essential Medicare data; including: claim status, payment history, benefits/eligibility information, MBI (Medicare beneficiary identifier) lookup, remittance advice details, status of medical review-related ADRs (additional documentation requests), and data reports.
Search by LCD ID, keyword (title only), or HCPCS code:
] -- learn how to use the index and additional options to locate LCDs
This tool can be used for uploading enrollment applications and responses to development requests, requesting a copy of enrollment correspondence sent to you, or to check the status of a previously uploaded application.
Use the enrollment application assistance tool to determine the application recommended for your situation
Use the National Correct Coding Initiative (NCCl) Procedure-to-Procedure (PTP) lookup to identify when certain codes are subject to automated prepayment edits.
Use this interactive worksheet to assist with identifying the appropriate E/M code based upon either the 1995 or 1997 E/M documentation guidelines.
Use of this interactive tool will assist with identifying the appropriate application of incident-to requirements.
This calculator will assist you in determining when additional documentation requested by First Coast must be received.
This interactive tool provides the basic guidelines for completing the data element requirements for the CMS-1500 (02/12) claim form.
This calculator will assist you in determining when your prior authorization will expire.
This tool allows you to check credit balance status using just your PTAN and a calendar date.
Request a reload of your acknowledgement information via the provider website. Once the request is processed, the information will be sent directly to your EDI gateway mailbox.
Request a reload of your remittance advice information via the provider website. Once the request is processed, the information will be sent directly to your EDI gateway mailbox.
Use this lookup tool for confirmation that appeal requests have been received by First Coast.
This interactive page features detailed descriptions of all five appeal levels and five calculators (one for each level) that will help you determine when you must submit your request based upon the date of either the initial claim determination or the preceding appeal level.
Use this tool to learn the definitions of form locators on the UB-04 form.
Use this calculator to determine a beneficiary's ESRD coordination period.
Identify negative billing patterns before they become troublesome trends with this detailed analytical report. Use the PDS through First Coast's Secure Provider Online Tool (SPOT) to request this useful report and enhance the accuracy and efficiency of your Medicare billing process.
This Interactive Cost Outlier Tool is provided to assist you in determining the proper billing of your inpatient prospective payment (IPPS) outlier claims.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.