Claim preparation

• Setup: Professional Claims Menu, Professional Claim Prepare For Transmission
• Required: LOB (MCB) and Payer (09102 – Medicare B Florida)
• Optional: Provider
• Auto Populated: Submission Status (Production and Include Error Claims? (No) 44

Connection

Two types of connections are available to transmit your claim files to First Coast

1. Network Service Vendor (NSV) – a fee-for-service entity that specialized in providing connectivity to the First Coast EDI Gateway.

   Refer to the approved vendor list for the list of NSV contact information and establish the connection to First Coast through the NSV.

2. Secure Provider Online Tool (SPOT) – First Coast’s free online portal

   If not yet enrolled for SPOT, refer to the How to register webpage.

   If already enrolled, the Claim Submission/ERA feature will connect you directly to First Coast.

Submission

• Once claims are prepared, the electronic claim file (837) is located at C:\WINPCACE (C:\ being the default drive), and is named BSTRANS.DAT
• If connecting via NSV, contact your NSV for instructions to submit the claim file.
• If connecting via SPOT, Refer to the SPOT User Guide: Section 7 - Claim Submission / ERA for instructions on uploading claim files.