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Last Modified: 7/26/2022 Location: FL, PR, USVI Business: Part A, Part B

Overpayment request submission reminders

Overpayments are Medicare payments a provider or beneficiary has received in excess of amounts due and payable under the statute and regulations. Once an overpayment has been discovered, the amount is a debt owed and should be returned to First Coast. When refunding the money owed, here are a few things to remember:
If you are a SPOT user, you can submit the Part B overpayment form via the secure documentation feature
If your submission includes multiple overpaid claims, please complete one refund form and send the details on an Excel spreadsheet
Include the Medicare ID number, internal control number (ICN), date of service, and the reason for the overpayment
Specify the claim line details such as procedure code(s) and amount
Indicate if the entire claim has been overpaid or just certain claim lines
If the amount of deductible or coinsurance liability collected from the beneficiary changes because of the identified overpayment, the provider must return the over collected funds to the beneficiary as appropriate.
Send one check for the total amount of the overpayment
If you received a demand letter, please send one check for the amount of the letter even if multiple accounts are included
Remembering to include the above information will assist First Coast in accurately processing your request. For more information about overpayments, please visit our frequently-asked questions pertaining to overpayments.
Part A
Part B
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.