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 website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 8/3/2017 Location: FL, PR, USVI Business: Part A, Part B

Payment Dispute Resolution Contractor (PDRC) -- Medicare Advantage

The Centers for Medicare & Medicaid Services (CMS) contracts with C2C Innovative Solutions, Inc. (C2C) to serve as the national independent entity to resolve payment disputes between Medicare Advantage (MA) organizations, Private Fee for Service (PFFS) plans, and deemed and non-contracted providers. C2C brings vast experience in adjudicating Medicare appeals on behalf of CMS. It is important to note that disputes by a Medicare Advantage contracted provider are not handled under this payment dispute resolution process, nor are beneficiary and provider appeals of coverage determination.
To file a request for an independent payment dispute decision (PDD), please visit the C2C Innovative Solutions, Inc. website at external link.
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.