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. Information for Medicare beneficiaries is only available on the medicare.gov website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 7/14/2018 Location: FL, PR, USVI Business: Part A

Claims overlap FAQs

Q: I have contacted the overlapping facility numerous times and have asked them to correct their claim, but the claim has not been corrected. What steps can be taken to get the other facility’s claim updated?
A: While providers/facilities are required and expected to work together to resolve the billing issue, providers may occasionally require assistance from the Medicare Administrator Contractor (MAC). In that case, First Coast Service Options (First Coast) will work with both providers/facilities for resolution. In addition, First Coast will work with other Medicare administrative contractors (MACs) when the overlapping claim is processed by another MAC.
Complete and submit ‘Request for Assistance Form’
You may request assistance from First Coast to resolve your overlapping claims. Please complete, print and fax:
Supporting documentation must be included with your request
Fax to First Coast’s claims department, at 904-361-0784
Note: Use a separate form for each request to enable First Coast to return each claim as it is completed, instead of holding claims until all claims on the request have been completed.
Upon receipt of the ‘Request for Assistance Form’, First Coast will take appropriate action within 30 calendar days. When First Coast is unable to complete the request within 30 days, status will be provided by explaining the reason on a copy of the request form. If you have not received a response within 30 days of faxing the form, submit a follow up request.
Source: CMS internet-only-manual (IOM), publication 100-04, Chapter 27 external pdf file, sections 50-50.3;
MLN MattersŪ article number SE0801 external pdf file
list item Please use your browser's back button to return to the referring page.
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.