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First Coast Service Options Inc.
Thank you for visiting First Coast Service Options' Medicare provider website, where you will always find the latest Medicare news and information affecting the J9 provider community.
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Last Modified: 6/23/2011 Location: FL, PR, USVI Business: Part A, Part B

How to complete a CMS-855 form FAQ

Q: How do I complete a CMS-855 form? How can I be sure that I have everything I need?
A: Medicare enrollment applications/forms (CMS-855A, CMS-855B, CMS-855I, and CMS-855R) must be completed with accurate information and include all supporting documentation.
First Coast Service Options Inc. (FCSO) offers several online resources to assist you during the provider enrollment process including:
• CMS-855 tutorials
• Institutional providers: CMS-855A Flash simulation
• Clinics/group practices and certain other suppliers: CMS-855B Flash simulation
• Physicians and non-physician practitioners: CMS-855I Flash simulation
• Reassignment of benefits: CMS-855R Flash simulation
• Provider enrollment tips, terms, and specialty codes:
• Tips to expedite the Provider enrollment process
• Provider enrollment terms and their definitions
• Medicare provider/supplier specialty codes
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First Coast Service Options (FCSO) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.