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Site map

February 25, 2026
Use this site map for quick access to various topics.

Freedom of Information Act requests

April 23, 2026
FOIA (Freedom of Information Act) found in Title 5 of the United States Code, section 552, and enacted in 1966, provides that, upon request from any person, a federal agency or federal contractor must release any record unless that record f…

Medicare & Veteran Affairs: Adjustments for duplicate claims

March 18, 2026
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA. This recovery effort is referred to as t…

Contact center

February 25, 2026
Find telephone numbers, departmental contact information, holiday and training closures, how to submit general inquiries and provide feedback to First Coast, additional resources, and more.

MLN Connects for June 26, 2025

February 25, 2026
This edition includes information on a Medicare fraud scheme alert, DMEPOS fee schedule updates, Medicare Diabetes Prevention Program payment rates, and more.

5010 reject code lookup: Help guide

April 27, 2026
Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.

Enrollment status tool: Help guide

February 27, 2026
Use this help guide for the enrollment application status tool. This versatile application allows you to check the status of your enrollment application in the Medicare program in three ways.

Claims & EDI

April 1, 2026

Appeals, Reopenings, & Overpayments

April 1, 2026
Find information regarding the appeals process, including reopenings, and overpayments. Learn how to appeal Medicare coverage and payment decisions and check status on existing appeals.

Targeted probe and educate (TPE) round results: Evaluation and management services – initial and subsequent inpatient care visits

May 14, 2026
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.
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