Submit medical review documentation 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:

  • Saves time, electronic submission eliminates mailing delays
  • Eliminates administrative costs, electronic submission costs nothing
  • Protects patient information, electronic submission is secure
  • Allows for the immediate confirmation of receipt, electronic submission provides transaction confirmations

Read on to find out how you can avoid the wait by submitting electronically. 

What are you trying to submit to First Coast?

Medical review/claims will request medical record documentation via an additional documentation request (ADR).

Once an ADR is received a provider should do the following: 

  • Collect all requested documentation
  • Verify all documentation requested is included in your submission
  • Attach the original ADR request as the cover sheet to the records
  • Select one of the electronic methods listed below to submit
Electronic Submission Method Submission Instructions Additional Resources
SPOT

SPOT is a FREE, secure internet portal for Part A and B customers to use to easily connect directly to First Coast. SPOT provides quick access to a number of time-saving features. 

To submit medical record documentation, select the Secure Documentation option from the SPOT toolbar and then select ADR response for Medical Review or Additional Claim Development Response - Respond to ADR for pre-pay claim from the drop down.

To learn more and enroll for SPOT, visit the SPOT user resources
Fax

The fax to image option allows for documentation to be submitted directly to First Coast. 

  • Fax responses for Florida, Puerto Rico and U.S. Virgin Islands to 904-361-0318
  • Keep in mind:
  • Faxes should not exceed 200 pages
  • Attach the original ADR request as a cover sheet
  • Submit only documentation for the date of service and procedure code requested
For more information see our ADR page on the First Coast website.
esMD Providers may submit requested medical record documentation electronically through esMD. This process allows providers to submit medical documentation over secure electronic means which is time efficient and cost effective. To sign up for esMD, visit Electronic Submission of Medical Documentation (esMD) on the CMS website.

 

First Coast offers free education on the submission methods described above. Access the following to learn more:

Back to the Avoid the wait home page to explore more topics and options for electronic submission: