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Last Modified: 8/26/2020 Location: PR, USVI Business: Part A, Part B

Form 480.6A -- "Informativa de Ingreso" FAQ

Q: Why is First Coast not issuing form 480.6A, "Informativa de Ingreso" to providers in Puerto Rico and the U.S. Virgin Islands?
A: First Coast Service Options Inc. (First Coast), as the Medicare administrative contractor (MAC), is only responsible for withholding monies and/or taxes established by the United States federal government. Therefore, First Coast will not be providing the "Informativa de Ingreso 480.6A" or an equivalent document disclosing the provider's annual reimbursement from the MAC. First Coast offers information on dollars paid through option four (4) of the Interactive Voice Response (IVR) system. This information is also available through the Secure Provider Online Tool (SPOT).
Source: First Coast Provider Outreach and Education
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