Claim submission guidelines

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When not to show patient paid amounts on claims

First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim…

Providers billing for drug Octagam HCPCS code J1568

Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.

New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part A

For Part A providers with multiple facility PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.

New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part B

For Part B providers with multiple billing PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.

How contractors may request assistance with overlapping claims

This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast to resolve an overlapping claim.

How contractors may request assistance with overlapping claims

This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast to resolve an overlapping claim.

Common definitions for claim submission types

See common definitions for claim submission types that may impact your billing.

Billing unlisted drug procedure codes J3490 and J9999

When billing for unlisted drug codes, include the name, strength, and dosage of the drug.