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Last Modified: 9/13/2020 Location: FL Business: Part B

Find appeals outcomes

Find the outcome of level-one appeals on the Secure Provider Online Tool (SPOT)

Appeals: Contact information -- Florida, Part B

Focus

Telephone numbers

Addresses

First level: Redetermination
N/A
Redetermination form pdf file
Fax your completed form to: 904-361-0595
or
Medicare Part B Redetermination
P.O. Box 3411
Mechanicsburg, PA 17055-1850
Second level: Reconsideration
N/A
Reconsideration form pdf file
or
C2C Innovative Solutions Inc.
QIC Part B South
P.O. Box 45300
Jacksonville, FL 32232-5300
Third level: Administrative law judge hearing (ALJ)
N/A
Forms pertaining to a level 3 appeal external link
Fourth level: Medicare Appeals Council
N/A
Medicare Appeals Council form: DAB-101 external pdf file
Fifth level: Judicial review
N/A
N/A
For additional information regarding this area, please click here.
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.