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Review the minutes of the Puerto Rico Provider Outreach and Education meeting minutes (POE-AG) from Part A/B
New end users may follow these instructions for SPOT access AFTER their organization has been created in IDM by the organization's approver.
Software vendors, billing services, and clearinghouses should complete the Electronic Data Interchange (EDI) Third Party Enrollment form to initially enroll for electronic billing with First Coast or make changes to their current EDI setup.
View TPE round results for psychotherapy services.
A self-service feature is available via the Part B interactive voice response (IVR) that allows providers / customers to request telephone reopenings on certain claims via the IVR.
View TPE round results for rehabilitation services outpatient (KX modifier).
View targeted probe and educate (TPE) round results for diagnostic radiology.
These instructions will assist you in completing the EDI SPOT enrollment form as a provider organization.
These instructions will assist billing services and clearinghouses in completing the EDI SPOT enrollment form as a third-party entity.
Approvers may follow these instructions for SPOT access AFTER they have received an approval communication from the SPOT Help Desk based on their new organization form submission.