Medical review

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Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis

Review the top denial / partial denial reasons and high-level results listed for DRG 885.

Instructions for completing the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transport

Learn how to complete the the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transports.

Prior authorization for hospital outpatient department services: Don’t wait too long to submit your prior authorization requests

When submitting prior authorization requests, be aware of response timeframes and documentation guidelines.

Prior authorization for hospital outpatient department services: Don’t wait too long to submit your prior authorization requests

When submitting prior authorization requests, be aware of response timeframes and documentation guidelines.

Repetitive scheduled non-emergency ambulance transport prior authorization claims submission guidelines

Follow this instructions to learn how to file a claim once you received the unique tracking number (UTN) related to the prior authorization of repetitive, scheduled non-emergency ambulance transports…

Prior authorization tips and reminders

The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.

Prior authorization tips and reminders

The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.

Submit prior authorization requests electronically

Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you to use. Additionally, submitting documentation electronically: 

Submit prior authorization requests electronically

Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you to use. Additionally, submitting documentation electronically: 

Submit medical review documentation 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…