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Learn more about PECOS and the enrollment process by accessing the following CMS resources and other helpful links.
View these commonly used enrollment terms.
Read this article for instruction to submit a provider enrollment rebuttal.
Different help desks are available for the different types of electronic billing questions. Carefully consider the type of assistance needed before dialing. Calls received to the incorrect help desk will be asked to call back using the corr…
The following instructions are for entering a claim with Medicare as the secondary payer.
More information on claim entry, including screen shots of the software, is available in the
First Coast’s Secure Provider Online Tool (SPOT)
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing requirements for these new services.
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-byte unique tracking number (UTN) number…
Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.