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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.
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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 or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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Credit balance reporting

Submit your credit balance report electronically
Save time, submit online. SPOT users can upload and submit their credit balance reports through the secure documentation feature on SPOT. Not a SPOT user? Learn more and register today.
View details and instructions on this tool which allows you to check credit balance status using just your PTAN and a calendar date.
Already familiar with the tool? View status now.
Submission methods and deadlines

Quarter end
Due date
Note: Unless paying by check, ALL providers should submit their credit balance report via fax: 904-361-0359 or through SPOT’s secure documentation feature.
Only when providers are repaying the credit balance by check, the check and supporting documentation should be mailed to:
First Coast Service Options
Attn: Cashier
P.O. Box 3162
Mechanicsburg, PA 17055-1837
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.
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