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.
Meet website user Michelle Flowers
, president of Oncology Managers of Florida, who says using First Coast’s website tools daily lets her stay compliant with regulations, get the most up-to-date information, and save valuable time.
Search by LCD ID, keyword (title only), or HCPCS code:
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 tool provides a description associated with the Medicare Part A reason codes.
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.
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.