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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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SPOT user resources

SPOT access issues
If you can no longer log in to SPOT after the recent recertification deadline, follow these steps to regain your access.
Quick clicks
Log in to SPOT -- Remember to log in to SPOT frequently (preferably weekly). Approvers and end users will lose SPOT access if they fail to log in at least once every 30 days.
more Unable to login or receiving a “Malformed Assertion sent to Netscaler” error message?– Learn how to resolve it and regain access to SPOT.
more Note: The Identity Management (IDM) system no longer supports Internet Explorer. Chrome, Firefox, Edge, and Safari are the recommended browsers for logging into SPOT.
SPOT login and help desk support
more Forgot your password or user ID? Follow these steps.
Note: If you are locked out of your account, you must call the SPOT help desk.
SPOT help desk:
more By phone: 855-416-4199 (press 1 for general assistance; press 2 for enrollment)
Monday-Friday, 8 a.m.-5 p.m. ET (excluding holiday closings and training dates)
Note: Please do not use email for requests to unlock your account
Note: SPOT account users are approved by their organization’s designated approver. If you are having issues being approved for a user account, please contact your approver directly.
For specific questions related to transactions within your account, please use the feedback form within SPOT.
Note: For the best user experience, users are encouraged to access SPOT through Chrome, Firefox, Edge, or Safari.
SPOT availability
SPOT is available 24/7, with the exception of routine weekly maintenance (Thursday 9-11 p.m.) and scheduled outages to maintain performance and allow for functionality updates. During weekly maintenance and scheduled outages, access to SPOT may be unavailable.
Note: Secure documentation submissions received after 6 p.m. ET weekdays, or on weekends and holidays will receive a receipt date that reflects the next business day.
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.