Latest updates: Claims

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Process for pathology, laboratory, and other codes

Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific…

Update to CARC and RARC codes for use with MREP 4.6

An updated remittance advice remark code (RARC) and claim adjustment reason code (CARC) “Codes.ini” file is now available for download.

Tips to prevent reject reason code 34538

Read this article for tips on how to prevent reject reason code 34538.

Steps to prevent reject reason code 36428

Steps to prevent rejection when submitting a claim for mammography screening services.

Current processing issues for Part A and Part B

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

Current processing issues for Part A and Part B

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

Returned or rejected as unprocessable claims affect timely filing

A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.

Incarcerated beneficiary

View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.

Incarcerated beneficiary

View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.