There are two tabs under eligibility that will provide helpful information regarding other insurance.
The Medicare Advantage plan tab will provide you with the name, address, and other information for a patient’s Medicare Advantage plan, if applicable. The MSP (Medicare secondary payer) tab will provide the reason that Medicare is secondary, as well as the other insurance effective date and term dates, name, policy number and address.
If the beneficiary is enrolled as a Qualified Medicare Beneficiary (QMB), deductible information may not be available at the time of the query.
HETS (HIPAA Eligibility Transaction System) indicates periods during which the beneficiary is enrolled as a QMB and will indicate the beneficiary owes $0 for Medicare Part A and B deductibles, coinsurance, or copayments. This information will be displayed under the QMB tab within SPOT.
No, this type of inquiry does not affect your credit score. You will not incur any charges related to this inquiry. When identity proofing, Experian creates something called a soft inquiry. Soft inquiries are visible only to you, the consumer, and no one else. Soft inquiries have no impact on your credit report, history, or score other than being recorded and maintained for 23 months.
CMS’ IDM collects your personal information, described as data that is unique to you as an individual, such as name, address, telephone number, Social Security number, and date of birth. IDM uses this personal information only to verify your identity. Your information will be sent to Experian, an external identity verification provider, to help us confirm your identity.
Once PC-ACE has been installed, the payer information, submitter information and the Provider Information within the Reference...
You’ll find the latest LCD news and information on the Medical Coverage page. For more information, please review the finding First Coast LCDs and related coverage information -- how-to guide.
LCDs are developed to deny coverage or limit coverage of a service to specific conditions or frequencies. First Coast will consider reasonable and necessary services for payment in the absence of an LCD, billing and coding article, NCD, or CMS manual instruction limiting coverage.
You’ll find information regarding the status, comment periods, and release dates of proposed LCDs on the Proposed LCDs page.
The best way to stay informed is to subscribe to eNews, First Coast’s electronic mailing service. You’ll receive regular and special email notifications advising you of changes to the Medicare program. You may subscribe to as many lists as you wish including those exclusively focused on news related to LCDs. Subscribe to eNews.
The IDM authentication system will only send one passcode to one device at a time. While you may register more than one device, you can only request a passcode be sent to one device at a time. Secondary devices should be registered to serve as a fail-safe in the event the first MFA device does not generate in passcode to you. If you elect to receive your passcode via email, note that this may take several minutes before you receive the passcode to log in to SPOT.
