Last Modified: 10/16/2020
Location: FL, PR, USVI
Business: Part A, Part B
CMS is now issuing application fee refunds through electronic funds transfer (EFT), rather than paper checks. We will request new information if you need an application fee refund for your CMS-855A, CMS-855B, CMS-855S, or CMS-20134 submitted via an automated clearinghouse.
Complete and return the EFT form issued by your Medicare administrative contractor, including your account information. This process will expedite your refund processing time.
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.