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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. For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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Closures and contact resources

Provider contact center closures
Modified: 3/26/2020
The First Coast provider contact centers will not close in April for training purposes
First Coast Service Options Inc. holiday schedule
Modified: 1/16/2020
This schedule lists holiday closures for the First Coast Service Options offices and provider contact centers responsible for furnishing services for providers located in Florida, Puerto Rico, and the U.S. Virgin Islands.
Guidelines for electronic submissions to First Coast
Modified: 3/13/2020
All electronic submissions originating from SPOT or the IVR submitted after 6 p.m. ET during weekdays, any time during a weekend or on First Coast Service Options’ corporate holidays will receive a receipt date that reflects First Coast’s next business day.
Customer service representatives cannot provide claim status via the toll-free service line
Modified: 3/11/2020
Service associates responding to calls via our toll-free service line are not permitted to provide claim status per Medicare regulations. [CMS IOM Pub. 100-09, Chapter 6, Section 50.1]
USVI Provider Contact Center hours of operation change
Modified: 2/12/2020
Please note this change in hours of operation for the U.S. Virgin Islands Provider Contact Center due to the end of daylight saving time.
Inquiry checklist -- be prepared when contacting First Coast
Modified: 7/2/2019
Need to know what information you should have on hand when calling First Coast? Be prepared when contacting us, by using this convenient inquiry checklist. [CMS IOM Pub. 100-09, Chapter 6, Section 80.1 and 80.2.1]
Provider authentication requirements for Medicare contractor provider telephone and written inquiriesexternal pdf file
Modified: 2/28/2020
When contacting Medicare through the interactive voice response system (IVR), a customer service representative (CSR), or a written inquiry, providers must furnish three data elements for authentication: the national provider identifier (NPI), the provider transaction access number (PTAN), and the last five digits of the tax identification number (TIN).
CMS.gov contacts databaseexternal link
Modified: 2/19/2020
This link provides access to the contacts database on the Centers for Medicare & Medicaid Services (CMS) website.
Provider contact center: Contact information -- Florida, Part A
Modified: 3/11/2020
Provider contact center: Contact information -- Florida, Part B
Modified: 3/11/2020
Provider contact center: Contact information -- Puerto Rico, Part A
Modified: 3/11/2020
Provider contact center: Contact information -- Puerto Rico, Part B
Modified: 3/11/2020
Provider contact center: Contact information -- U.S. Virgin Islands, Part A
Modified: 3/11/2020
Provider contact center: Contact information -- U.S. Virgin Islands, Part B
Modified: 3/11/2020
Provider enrollment: Contact information -- U.S. Virgin Islands, Part A
Modified: 1/17/2020
Provider enrollment: Contact information -- U.S. Virgin Islands, Part B
Modified: 1/11/2020
Provider enrollment: Contact information -- Florida, Part A
Modified: 11/9/2019
Provider enrollment: Contact information -- Florida, Part B
Modified: 11/9/2019
Provider enrollment: Contact information -- Puerto Rico, Part B
Modified: 11/9/2019
Provider enrollment: Contact information -- Puerto Rico, Part A
Modified: 5/17/2019
Claims: Contact information -- Puerto Rico, Part A
Modified: 11/9/2019
Claims: Contact information -- U.S. Virgin Islands, Part A
Modified: 7/14/2019
Claims: Contact information -- U.S. Virgin Islands, Part B
Modified: 7/14/2019
Claims: Contact information -- Florida, Part B
Modified: 6/12/2019
Claims: Contact information -- Florida, Part A
Modified: 5/30/2019
Claims: Contact information -- Puerto Rico, Part B
Modified: 5/15/2019
EDI: Contact information -- Puerto Rico Part A and Part B
Modified: 2/16/2020
First Coast Medicare EDI Florida and U. S. Virgin Islands contact information -- Part A and B
Modified: 1/10/2020
First Coast Medicare EDI Puerto Rico contact information -- Part A and B
Modified: 1/10/2020
LCD/Medical policy: Contact information -- Florida, Part A
Modified: 1/5/2020
LCD/Medical policy: Contact information -- Florida, Part B
Modified: 1/5/2020
LCD/Medical policy: Contact information -- Puerto Rico, Part B
Modified: 1/5/2020
LCD/Medical policy: Contact information -- U.S. Virgin Islands, Part B
Modified: 1/5/2020
LCD/Medical policy: Contact information -- U.S. Virgin Islands, Part A
Modified: 5/10/2019
LCD/Medical policy: Contact information -- Puerto Rico, Part A
Modified: 5/3/2019
First Coast Leadership Team: Contact information
Modified: 3/13/2020
Provider education: Contact information
Modified: 1/31/2020
Appeals: Contact information -- U.S. Virgin Islands, Part B
Modified: 3/16/2020
Appeals: Contact information -- Puerto Rico, Part B
Modified: 3/16/2020
Appeals: Contact information -- U.S. Virgin Islands, Part A
Modified: 3/16/2020
Appeals: Contact information -- Puerto Rico, Part A
Modified: 3/16/2020
Appeals: Contact information -- Florida, Part A
Modified: 6/14/2019
Appeals: Contact information -- Florida, Part B
Modified: 6/12/2019
Overpayment issues: Contact information -- Florida, Part A
Modified: 11/9/2019
Overpayment issues: Contact information -- U.S. Virgin Islands, Part B
Modified: 7/11/2019
Overpayment issues: Contact information -- Puerto Rico, Part B
Modified: 5/17/2019
Overpayment issues: Contact information -- Florida, Part B
Modified: 5/10/2019
Overpayment issues: Contact information -- Puerto Rico, Part A
Modified: 4/27/2019
Overpayment issues: Contact information -- U.S. Virgin Islands, Part A
Modified: 4/27/2019
Fraud and abuse reporting: Contact information -- Florida, Part B
Modified: 7/14/2019
Fraud and abuse reporting: Contact information -- U.S. Virgin Islands, Part B
Modified: 7/14/2019
Fraud and abuse reporting: Contact information -- Florida, Part A
Modified: 7/11/2019
Fraud and abuse reporting: Contact information -- Puerto Rico, Part A
Modified: 6/12/2019
Fraud and abuse reporting: Contact information -- Puerto Rico, Part B
Modified: 6/12/2019
Fraud and abuse reporting: Contact information -- U.S. Virgin Islands, Part A
Modified: 4/28/2019
FOIA requests: Contact information -- Florida, Part B
Modified: 11/9/2019
FOIA requests: Contact information -- Puerto Rico, Part A
Modified: 11/9/2019
FOIA requests: Contact information -- Puerto Rico, Part B
Modified: 11/9/2019
FOIA requests: Contact information -- U.S. Virgin Islands, Part A
Modified: 11/9/2019
FOIA requests: Contact information -- U.S. Virgin Islands, Part B
Modified: 11/9/2019
FOIA requests: Contact information -- Florida, Part A
Modified: 11/3/2019
Feedback & inquiries
Modified: 11/1/2019
Providers can use the forms on the feedback page to submit inquiries regarding the Medicare program and to submit comments related to this website and its functionality.
Provide your correct PTAN when contacting provider customer service
Modified: 3/22/2020
Make sure to provide your correct PTAN in the proper format when contacting us for any claim-related inquiries. PTANs that have double zeroes as a prefix (00XXXXX) should be provided with those zeroes, followed by the remaining digits.
Make sure to provide your correct PTAN in the proper format when contacting us for any claim-related inquiries. PTANs that have double zeroes as a prefix (00XXXXX) should be provided with those zeroes, followed by the remaining digits. If your PTAN is composed of numbers and letters, be sure to provide the appropriate format and order, without confusing letters and numbers.
CMS: Contact information
Modified: 7/14/2019
Provide feedback to CMS regarding First Coast’s Medicare administrative contractor (MAC) performance.
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.