Why can’t I locate the deductible information when checking a patient’s eligibility?

Member for

4 months 3 weeks
Submitted by Alyssa.Jackson on

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.

Will RIDP affect my credit?

Member for

4 months 3 weeks
Submitted by Alyssa.Jackson on

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.

What happens to the data submitted for identity proofing?

Member for

4 months 3 weeks
Submitted by Alyssa.Jackson on

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.

Does Medicare cover newly developed injections or innovative lab tests?

Member for

3 months 2 weeks
Submitted by Jacqueline.Dunn on

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.

How can I “keep up” with changing medical coverage policies impacting my area?

Member for

3 months 2 weeks
Submitted by Jacqueline.Dunn on

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.

Does the same code get sent to all the devices you registered?

Member for

4 months 3 weeks
Submitted by Alyssa.Jackson on

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.

Can I register a single MFA device for multiple users?

Member for

4 months 3 weeks
Submitted by Alyssa.Jackson on

No. Each MFA device must be used for the SPOT account for which it’s registered. Passcodes generated from unlinked MFA devices will not work. Also, please note that SPOT and IDM accounts may not be shared. First Coast strongly recommends that you register multiple devices to ensure your access to SPOT.

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