Prior authorization

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Repetitive scheduled non-emergency ambulance transport prior authorization claims submission guidelines

Follow this instructions to learn how to file a claim once you received the unique tracking number (UTN) related to the prior authorization of repetitive, scheduled non-emergency ambulance transports…

Submit prior authorization requests electronically

Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you to use. Additionally, submitting documentation electronically: 

Prior authorization tips and reminders

The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.

Prior authorization tips and reminders

The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.

Prior authorization program for repetitive scheduled non-emergent ambulance transports

Background Submissions Extended affirmation periods

Prior authorization program for certain hospital outpatient department services - claim submission guidelines

Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any service that was part of a partially affirmed decision, must include the 14…

Prior authorization program for certain hospital outpatient department services - claim submission guidelines

Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any service that was part of a partially affirmed decision, must include the 14…

Prior authorization program for repetitive, scheduled non-emergent ambulance transports (RSNAT)

CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in Florida, Puerto Rico and the US Virgin Islands. Learn more about the program…

Implantation of Spinal Neurostimulator

CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.

Implantation of Spinal Neurostimulator

CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.