EDI

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Update to CARC and RARC codes for use with MREP 4.6

An updated remittance advice remark code (RARC) and claim adjustment reason code (CARC) “Codes.ini” file is now available for download.

Paperwork (PWK)

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their initial claim.

Paperwork (PWK)

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their initial claim.

Tools & forms: EDI / SPOT

Use these self-service tools and forms related to EDI and SPOT.

PC-ACE User Guide: Section 7 - Prepare/Reactivate claims for transmission

Prepare new claim for transmission Click the Institutional or Professional Claims Processing icon from the PC-ACE Main Toolbar. Select MCB from the LOB dropdown.

PC-ACE User Guide: Section 7 - Prepare/Reactivate claims for transmission

Prepare new claim for transmission Click the Institutional or Professional Claims Processing icon from the PC-ACE Main Toolbar. Select MCB from the LOB dropdown.

PC-ACE User Guide: Section 5 - Flu, pneumonia, COVID-19, hepatitis B, or monoclonal antibody (mAb) infusion injection roster billing

Roster billing is available for Part B providers that bill for influenza, pneumonia, COVID-19, hepatitis B, and Monoclonal Antibody (mAb) infusion vaccines.

Submit Part B claims and correct claims billed in error electronically

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…

PC-ACE User Guide: Section 5 - Flu, pneumonia, COVID-19, hepatitis B, or monoclonal antibody (mAb) infusion injection roster billing

Roster billing is available for Part B providers that bill for influenza, pneumonia, COVID-19, hepatitis B, and Monoclonal Antibody (mAb) infusion vaccines.

Tools & forms: EDI / SPOT

Use these self-service tools and forms related to EDI and SPOT.