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Prior Authorization Code Lookup

October 23, 2025
Use this tool to search by HCPCS/CPT code to determine if the code is subject to prior authorization.

Tools & forms: EDI / SPOT

February 19, 2026
Use these self-service tools and forms related to EDI and SPOT.

Overpayment request submission reminders

March 16, 2026
Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.

Independent diagnostic testing facility (IDTF) quick reference

April 6, 2026
IDTFs are required to report the exact CPT/HCPCS codes and procedures they intend to perform when enrolling with the CMS-855B form.

How to complete the Medicare reconsideration request form (CMS-20033)

December 23, 2025
Find the appropriate forms to appeal claim decisions.

Hepatitis C virus (HCV)

April 6, 2026
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.

MLN Connects Special Edition for November 3, 2025

December 23, 2025
View this special edition on recent CMS actions.

MLN Connects Special Edition for November 7, 2025

March 16, 2026
View this special edition update on processing of telehealth and acute hospital care at home claims.

IVR Quick Reference Guide: Medicare Provider Part B

February 3, 2026
This document provides a quick reference for the First Coast Part B provider IVR features.

New provider roadmap: Appeals

January 9, 2026
An appeal is a new and independent review of an initial determination of a claim.
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