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Tutorial: Completing the Medicare Part B redetermination request form

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

Tutorial: Completing the Medicare Part A redetermination and clerical error reopening request form

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

Appeal reminder for medically unlikely edits (MUEs)

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.

Advance payment – Part B only

View this article for information about Part B advance payment submissions.

Claims and appeals for CPT 93010 performed in emergency room setting

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

Tools & forms: Appeals

Use these self-service tools and forms to appeal claim decisions.

Before you appeal a claim or request a redetermination

Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.

Submit Part A appeals and claim corrections electronically

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you to submit Part A appeals a…

Appeal tips: Documentation to include with your Part A redetermination request

Learn what documentation to include when submitting a Medicare Part A appeals request.

Overpayment request submission reminders

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