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Appeals

Avoid the wait, submit electronically
First-level appeals status
list item Find the outcome of first-level appeals on SPOT – Online access to first-level appeals outcomes, exclusively on SPOT.
News
Submit Part B appeals and claim corrections electronically
Modified: 9/16/2022
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you to submit Part B appeals and claim corrections.
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When and how to appeal
list item When to file an appeal – Use this calculator to calculate time limits for filing requests for all five levels of appeals.
list item How to appeal a claim – Learn about the five levels of appeals and how to begin the appeals process.
list item Submit your appeal through SPOT – Submit redeterminations (level one appeals) electronically on SPOT.
Appeals forms
Locate the necessary forms to appeal claim decisions.
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FAQs
Find the answers to common appeals-related questions.
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more Important things to know about Part B appeals
Appeals contact information
Find phone numbers and addresses for appeals-related inquiries.
• Part B Florida
• Part B Puerto Rico
• Part B U.S. Virgin Islands
Overpayments
Did you receive a demand letter or notice an overpayment? Learn more with the following resources and forms:
more Overpayment request submission reminders
more FAQs -- learn more about how to handle overpayments
more Forms -- find the appropriate forms to resolve or dispute overpayments
Resources
more Appeals information on CMS.gov external link
more CMS appeals process flow chart external pdf file
Redetermination survey
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.
Part B