The SPOT User Guide

This user guide is a reference material available to assist users on how to use First Coast's self-service online portal, the Secure Provider Online Tool (SPOT). Use the menu items on the left side to navigate to the section you wish to review. 

Section 1: Introduction

  • SPOT
  • Portal Access
  • Accessibility Information
  • Scope
  • Conventions Limitations
  • System Requirements
  • File Upload Requirements
  • Integration with CMS’ IDM System
  • Acceptance of IDM Terms and Conditions
  • Compliance with Federal Regulations
  • Acronyms
  • Glossary
  • Printing in SPOT

Section 2: Accessing SPOT

  • Enrollment References
  • Sign In
  • Homepage
  • Navigation
  • Search
  • Chat
  • Mailbox
  • Log Off
  • Switch Roles

Section 3: Eligibility

  • Eligibility
  • Deductibles/Caps
  • Preventive
  • Medicare Secondary Payer (MSP)
  • Medicare Advantage Plan (MAP)
  • Hospice / Home Health
  • Inpatient
  • Qualified Medicare Beneficiary (QMB)
  • Part B Immunosuppressant Drug Benefit (PBID)
  • ACO REACH Participation
  • ACO REACH: Part A
  • ACO REACH: Part B 

Section 4: MBI Lookup

Section 5: Claims

  • Claim Status
  • Claim Status: Part A
  • Claim Status: Part B
  • Claim Summary
  • Medical Review Claims
  • Provider Data Summary (PDS)
  • PDS Request: Part A
  • PDS Request: Part B

Section 6: Appeals

  • Part A:
    • Appeal Request – Part A
    • Redetermination Request – Part A
    • Reconsideration Request – Part A
    • Appeals Status – Part A
  • Part B:
    • Appeal Request – Part B
    • Appeals Status – Part B
    • Claim Correction – Part B
    • Overpayment Correction – Part B

Section 7: Claim Submission/ERA

  • Open Claim Submission / ERA Feature
  • Claim File Submission
  • Retrieve the 999 Acknowledgement Report
  • Retrieve the 277CA Claims Acknowledgement Report
  • Retrieve the 835 Electronic Remittance Report

Section 8: Submit Documents

  • Dashboard
  • ADRs/Claim and Medical Review
  • Provider Audit & Reimbursement (Part A only)
  • Credit Balance Report (Part A only)
  • General Inquiry
  • MSP Overpayment Refund (Part B only)
  • Non-MSP Overpayment Refund (Part B only)
  • Overpayment Redetermination (Part B only)
  • Prior Authorization Requests
  • 1099
  • Submission History/Check Status

Section 9: Prior Auth

  • Prior Authorization Requests
  • Submit Prepay ADR Response
  • Prepay Review ADR

Section 10: Retrieve Documents

  • Retrieve Document Part A/B Feature Listing
  • 1099
  • Comparative Billing Report (CBR)
  • Overpayment Demand Letter
  • Appeals Development Letters
  • Claim Correction Confirmation
  • Redetermination Notices
  • General Inquiry and Redetermination Correspondence
  • Remittance Advice

Section 11: Financial Information

  • Payment Status
  • FCN Lookup
  • Demand Letter / Overpayment Details
  • AR Transaction Info

Section 12: Online Resources

  • Self-Service Tools
  • References
  • Educational Events
  • Site Map
  • Privacy Policy
  • Terms and Conditions
  • My IDM Account

Section 13: Troubleshooting

  • Unable to Sign In
  • System Not Available
  • Data Matching Error
  • Data Format Error
  • Data Incomplete Error

Section 14: Support

  • Online Help
  • SPOT FAQs
  • Technical Support
  • Feedback