First Coast Service Options Inc. has revised its Direct Data Entry (DDE) user ID request form and is now available for download. Please be advised that forms with a revision date prior to August 14, 2019, will not be accepted after August 30, 2019.
This is the new First Coast Medicare Part A DDE (Direct Data Entry) form to add/update/delete user access. This form was updated in October 2019. Any previous versions of this form will not be accepted as of December 1, 2019.
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.