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Unsolicited / voluntary refunds notification for calendar year (CY) 2025

December 23, 2025
View this notification regarding unsolicited / voluntary refunds.

Automation of the request for reopening claims process

December 23, 2025
This article informs you and your vendors about changes that will allow you to request reopening of claims electronically.

Notify First Coast if you file bankruptcy

December 23, 2025
First Coast will coordinate with both CMS, and the Department of Justice (DOJ), to assure that we handle your bankruptcy case properly.

First Coast bank transition: Deposit paper checks timely

April 9, 2026
Effective April 27, 2026, First Coast will be changing banks from Citibank to JP Morgan Chase.

Learn how to determine when Medicare is the primary or secondary payer

April 29, 2026
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon specific situational criteria. The informat…

Part A inpatient date of service reporting and split billing

December 23, 2025
This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.

Avoid claim processing delays when billing tetanus vaccinations

December 23, 2025
Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.

Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays

April 21, 2026
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers RT, LT or 50, site levels, alternative c…

Physician ordering laboratory tests: Your vital role in submitting documentation

December 23, 2025
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.

Limitation on recoupment (935) process

May 13, 2026
This information outlines the process for the 935 recoupment.
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