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Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
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This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. Information for Medicare beneficiaries is only available on the medicare.gov website.
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Last Modified: 12/31/2016 Location: FL, PR, USVI Business: Part B

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Overpayment forms

Providers, participating physicians, and other suppliers may occasionally receive improper payments based on Medicare regulations. Once an overpayment has been identified, any excess amount is considered a debt owed to Medicare and must be paid upon receipt of an overpayment notice.

Report an overpayment

Complete an overpayment refund form to notify First Coast Service Options (First Coast) of an overpayment prior to receiving a demand letter.
Florida pdf file

Request immediate recoupment

Learn how to have overpayments immediately offset as funds become available. This process is a convenient and cost effective way to pay demanded debt.

Dispute

To dispute an overpayment identified in a demand letter use the appropriate overpayment redetermination request forms listed below.
Non-MSP (Medicare Secondary Payer)
Florida pdf file
MSP
Florida pdf file

Extended repayment schedule

If you are experiencing financial difficulties in repaying debt, an extended repayment schedule may be considered. Complete the following information along with all supporting documentation:

Additional resources

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.