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Tutorial: Completing the Medicare Part B redetermination request form

May 1, 2026
Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.

Appeal reminder for medically unlikely edits (MUEs)

March 13, 2026
We'd like to remind providers of medical documentation you'll need to submit when filing a redetermination or clerical error reopening for a claim (or line item) denied due to an MUE.

Positron emission tomography (PET) for oncologic conditions: Modifier usage

December 23, 2025
The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this article to learn more about billing these services correctly.

Advance payment – Part B only

February 25, 2026
View this article for information about Part B advance payment submissions.

Claim Reopening Gateway - Help Guide

December 23, 2025
Welcome to the First Coast Claim Reopening Gateway Help Guide.

Claim Reopening: Request types and tips

December 23, 2025
View these request types and tips for claim reopenings.

When to file an appeal

August 23, 2025

IVR touch-tone converter

October 16, 2025

Reopening Gateway

October 16, 2025

Claims and appeals for CPT 93010 performed in emergency room setting

May 4, 2026
Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.
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