Medical records or other documentation for additional documentation response (ADR) letters may be returned via fax. Use this form as a fax coversheet. [CR 8436]
Medical records or other documentation for additional documentation response (ADR) letters may be returned via fax. Use this form as a fax coversheet. [CR 8436]
When responding to upcoming ADR letters from First Coast, providers should not use the return address on the envelope, but should instead use the address provided in the letter.
First Coast Service Options (First Coast) 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.
