The SPOT User Guide

November 18, 2024

This user guide is a reference material available to assist users on how to use First Coast's self-service online portal, the Secure Provider Online Tool (SPOT). Use the menu items on the left side to navigate to the section you wish to review.

Section 1: Introduction

SPOT
Portal access
Accessibility information
Scope
Conventions Limitations
System requirements
File upload requirements
Integration with CMS’ IDM system
Acceptance of IDM Terms and Conditions
Compliance with federal regulations
Acronyms
Glossary
Printing in SPOT

Section 2: Accessing SPOT

Enrollment references
Sign In
Homepage
Navigation
Search
Chat
Mailbox
Log off
Switch roles

Section 3: Eligibility

Eligibility
Deductibles/Caps
Preventive
Medicare Secondary Payer (MSP)
Medicare Advantage Plan (MAP)
Hospice / Home Health
Inpatient
Qualified Medicare Beneficiary (QMB)
Part B Immunosuppressant Drug Benefit (PBID)
ACO REACH Participation
ACO REACH: Part A
ACO REACH: Part B

Section 4: MBI Lookup

Section 5: Claims

Claim status
Claim status: Part A
Claim Status: Part B
Claim summary
Medical review claims
Provider Data Summary (PDS)
PDS request: Part A
PDS request: Part B

Section 6: Appeals

Part A:
- Appeal request – Part A
- Redetermination request – Part A
- Reconsideration request – Part A
- Appeals status – Part A
Part B:
- Appeal request – Part B
- Appeals status – Part B
- Claim correction – Part B
- Overpayment correction – Part B