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. 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.
Join eNews       En Español
Text Size:
YouTube LinkedIn Email Print
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 8/5/2022 Location: FL, PR, USVI Business: Part A, Part B

SPOT Approver Instructions

Step 1: Submit new organization form

Organizations must submit a new organization form that designates an approver and is signed by their authorized or delegated official:

Step 2: Complete the following instructions

Once the approver has received an approval communication from the SPOT Help Desk, they may complete these instructions.
Is this the correct role for you? View role descriptions here

Navigation examples

1. Navigate to CMS’ IDM portal

Select link for New User Registration
NOTE: If you already have an IDM account, skip to Step 5.
M login screen

2. Register your information

This portion of the application is based on your personal information.
The information you enter here will be important later in the process for securing your access to SPOT.
Per CMS requirements, enter your:
First name
Last name
Date of birth
Email address.
Review the terms and conditions, check the box, and click Next to continue.
w user personal  information

3. Complete your contact information

Enter your:
Home address
Primary contact telephone number
Click Next to continue.
ntact information

4. Create User ID, Password & Security

NOTE: IDM and SPOT accounts CANNOT be shared. Each individual who needs access must create their own IDM account and their own SPOT account.
Create a User ID for your IDM account, based on the provided parameters:
A minimum of six and a maximum of 74 alphanumeric characters
Can contain alphanumeric characters
The @ symbol may only be used if the user id is in a valid email address format (
May not start or end with special characters, or contain consecutive special characters
Your User ID may not contain your SSN or any nine consecutive numbers
Create your Password for your IDM account, which must meet the provided parameters:
Be changed at least every 60 days.
Be a minimum of eight (8) characters long.
Contain at least one number.
Contain at least one lower case letter.
Contain at least one upper case letter.
Contain at least one special character.
Be different from the previous six (6) passwords.
Not contain the User ID.
Not contain any parts of your first or last name
Not contain the following special characters: ? < > ( ) ‘ “ / \ &, (space).
Note: Passwords may only be changed once per day.
Confirm New Password
Complete the Select Question and Answer section, which may be used to verify your identity.
Click the Submit button.
A message will display when the registration has completed. Click Return to proceed back to the login screen.
eate user id screen
egistration complete message

5. Log in

Log into IDM external link with the User ID and password created.
DM login screen

6. Set up multifactor authentication (MFA)

*Skip this step if you previously setup the MFA.
Choose the best MFA factor for your needs.
Click the Setup button and follow the steps on the screen to complete the setup.
We recommend setting up at least 2 MFA devices.
Click Finish when complete.

7. Role request

Once you have logged in, click Role Request from the self-service options.
elf service tiles

8. Select an application

Type SPOT in the ‘Select an Application’ drop-down field and click on ‘SPOT-First Coast Service Options internet portal (FCSO)’ to proceed to the role selection.
ocate the SPOT application

9. Select a role

Click on the drop-down menu next to ‘Select a Role.’
Select ‘FCSO – Provider Office Approver’ or ‘FCSO - Business Office Approver.”
NOTE: If you are a third-party biller, select ‘FCSO Business Office Approver.’
Note: If you select the incorrect role your application will be denied, and you will need to begin the registration process from Step 1.
elect a role

10. Review RIDP information

The next steps will involve verifying the information you entered earlier through information databases. NOTE: If you are NOT asked to verify your identity, skip to Step 12.
This process is known as Remote Identity Proofing (RIDP) external pdf file.
The Experian identity verification service is used by CMS to confirm your identity when you need to access a protected CMS Application.
If you have not previously been through CMS’ required identity verification, you may be prompted for RIDP when requesting access to SPOT.
You will be asked to provide a set of core credentials, which includes full name, current address, residential phone number, and Social Security number.
The Experian identity verification service will use your core credentials to locate your personal information in the Experian database and generate a set of questions.
Check ‘Terms and Conditions’ box to proceed.
Click ‘Next’

11. Complete the RIDP

Use your personal information to complete the required fields:
Full legal name
Social Security number
Date of birth
Current residential address
Personal phone number
Email address
You must use your full legal name. Refer to your driver’s license or financial account information.
Your surname and other information, such as date of birth, must match the information Experian has for you on file.
Do not use nicknames.
If you have a two-part name, enter the second part in the middle name field. (i.e., Mary Beth would have Mary in the first name field and Beth in the middle name field)
Enter your current residential address:
Address where you receive financial statements including credit cards and/or utilities
Address you most consistently use for billing purposes
Address associated with your credit report
If you have a recent change in address, you can try to ID proof with a prior address.
Click ‘Next’
You will be prompted to answer a series of questions to verify your identity. Click on the radio button next to each correct answer. Click Next to proceed.
If your information is verified, you have completed the RIDP process. Click Next and proceed to Step 12.
IDP Form

12. If your information cannot be verified…

In the event your information cannot be verified through RIDP, you will be asked to contact Experian Verification Support Services.
When you contact Experian Verification Support Services, please keep your ‘Review Reference Number’ close at hand. If Experian is able to resolve the information, return to Step 5 in this process by logging into your IDM account and begin the process of requesting access to SPOT.
You may return to this application once you have resolved the issue with the Experian database.
ailed RIDP

13. Contacting Experian

When you arrive at the Role Request process again, click the check box to confirm your Experian verification and click Next.
Once you enter your information, the CMS IDM system will verify your contact with Experian.
If Experian successfully verified your identity, you will be able to complete your request for SPOT.
If Experian is unable to verify your identity, contact the SPOT Help Desk and request to be manually verified.
xperian verification

14. Create Your Organization

On the screen, click the radio button next to “Create an Organization” and provide all requested information, including your TIN/SSN, legal business name, address, company telephone, city, state/territory, ZIP code, and submitter ID (this is found in your communication from the SPOT Help Desk).
Click Review Request, review your information, enter your reason for request, and click Submit Role Request.
eate a new organization

15. Request Submitted

The final screen will confirm that your request has been submitted. You will receive an email confirmation once your request has been processed.
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.