Claim submission guidelines

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Tips to prevent reason code 326x4

Review this article if your claim is returning for reason code 326x4.

Process for pathology, laboratory, and other codes

Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific…

Important instructions for paper claim form CMS-1500 (version 02/12)

First Coast has noticed an increase in errors on the CMS-1500 (02/12) claim form. This article addresses important instructions regarding completion of the paper claim form.

Hospital off-campus outpatient department reporting requirements

Read this article to learn more about hospital off-campus outpatient department reporting requirements.

Returned or rejected as unprocessable claims affect timely filing

A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.

Guidelines for billing acute inpatient noncovered days

This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.

Guidelines for billing acute inpatient noncovered days

This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.

Incarcerated beneficiary

View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.

Incarcerated beneficiary

View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.