skip to content
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.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
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.
En Español
Text Size:
Close
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 7/15/2020 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 2360
Jacksonville, FL 32231-0018
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.