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:

By clicking Continue below you agree to the following:

LICENSE FOR USE OF "PHYSICIAN'S CURRENT PROCEDURAL TERMINOLOGY" (CPT), FOURTH EDITION End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2022 American Medical Association (AMA).

All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.
You, your employees, and agents are authorized to use CPT only as contained in the following authorized materials:
Local Coverage Determinations (LCDs),
Local Medical Review Policies (LMRPs),
Bulletins/Newsletters,
Program Memoranda and Billing Instructions,
Coverage and Coding Policies,
Program Integrity Bulletins and Information,
Educational/Training Materials,
Special mailings,
Fee Schedules;

internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS), formerly known as Health Care Financing Administration (HCFA). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA website. Applicable FARS/DFARS restrictions apply to government use.

AMA Disclaimer of Warranties and Liabilities CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this agreement.

CMS Disclaimer: The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

AMA - U.S. Government Rights

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a )June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

ADA CURRENT DENTAL TERMINOLOGY, (CDT)
End User/Point and Click Agreement: These materials contain Current Dental Terminology (CDTTM), Copyright © 2016 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.

IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ON THE BUTTON LABELED "DECLINE" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the ADA website.

Applicable Federal Acquisition Regulation Clauses (FARS)\Department of restrictions apply to Government Use.

ADA DISCLAIMER OF WARRANTIES AND LIABILITIES: CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third party beneficiary to this Agreement.

CMS DISCLAIMER: The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

End Disclaimer


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 Medicare.gov 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 addresses must be separated by a semicolon.]
Last Modified: 4/22/2024 Location: PR, FL, USVI Business: Part A, Part B

Using the gateway

The provider enrollment gateway can be accessed by one of two ways:
2. https://medicare.fcso.com/, select “Provider Enrollment” from the left hand side, and click the Gateway option from the pop-up menu.
The gateway welcome screen will look like this:
This is an image of what the Provider Enrollment Gateway welcome page looks like where the user will accept the disclaimer.
You must accept the disclaimer to access the gateway.Once you have accepted the disclaimer, you will reach the entry page for the gateway; please have your NPI and an email account accessible as you will be required to enter them to access the gateway.
The entry page will look like this:
is image shows the entry screen for the Gateway where the user is required to enter their NPI, select the state of enrollment, enter their email address, and select the Gateway action.
Enter your NPI, select the state in which you are enrolling from the drop-down menu (First Coast Service Options, Inc. services Florida, Puerto Rico, and U.S. Virgin Islands), enter your email address, and select an option. The options include:
Submit an application
Check application status*
Submit development response*
*Please note that these two actions are only for paper applications that were submitted through the gateway. To check the status of a paper application that was submitted either via mail, fax, email, or PECOS, please visit Check your application status, and have your NPI, PTAN, or DCN number. You can also check your application status by visiting https://medicare.fcso.com/, select “Provider Enrollment” from the left hand side, and click “Check your Application Status” from the pop-up menu.
Once you have made your selection, you will receive a one-time 6-digit access code to the email address that you entered. Please note that this code is only to be used for this transaction and is only available for 30 minutes. Once it has been used, it cannot be used again. The email subject line will be: URGENT: Provider Enrollment Gateway Access. The email will include the 6 digit access code, which you will enter in the newly populated One-time access code field. Click the “Continue” button.
Example:
is image shows the entry screen with the entry fields completed to demonstrate what kind of data is being requested.
Regarding the NPI
The NPI that the user chooses to log in will be required to be entered each time the user wants to check on that application submission, submit returned development, or review a letter. The NPI that the user entered for the initial submission of the application(s) is tied to the submission ID.
Examples:
You are submitting an 855B for a group, and 4 855Is for different reassigners. You may log into the gateway only one time to upload all 5 applications under one submission using 1 designated NPI, or you may log into the gateway to submit each application separately using each provider’s distinct NPI. However, if you choose the second option, you will be required to use the provider’s distinct NPI to check on that application only.
If the user enters the NPI incorrectly the first time, the user may not be able to access any information for that application submission so it is important to ensure that the NPI entered for the initial submission is correct. The gateway will only validate that the NPI field contains a 10 digit number and will not validate if the NPI is registered to a provider or supplier. The user will not be able to check the status of another NPI’s application submission since the NPI is linked to the unique submission ID and DCN.
Examples:
1. An application was submitted for a provider using NPI 1234567890 and submission ID 1564 was assigned. The user wants to check on an application that was submitted for NPI 1569845651 with submission ID 1779. The user will not be able to log into the gateway using 1234567890 with the submission ID 1779 for NPI 1569845651 to check on the application status for NPI 1569845651. You will receive the following error:
his image shows the error message presented when an invalid submission ID is entered to check the application status.
2. An 855B and 4 855Is were submitted using NPI 1659845100 and given submission ID 1222. If the user later tried to check the status of the applications with one of the individual’s NPIs and submission ID 1779, the status will not be able to be shown since the NPI and submission ID do not match. The same error message above will be provided.
Submitting an application
Once you have obtained entry into the gateway, you will need to select the Application Type and Reason for the submission from the drop-down menus.
Application Types and Reasons:
855O
New enrollee
You are an individual wanting to enroll in Medicare to order and certify services.
Change of information
You are an individual wanting to change information on your Medicare enrollment to order and certify services.
Voluntary termination
You are an individual wanting to voluntarily terminate your Medicare enrollment to order and certify services.
855I
New enrollee
You are an individual, sole proprietor, or sole owner wanting to enroll to in Medicare for the first time.
Enrolling w/new MAC
You are an individual, sole proprietor, or sole owner enrolled with a Medicare contractor and are now requesting to enroll in another Medicare contractor’s state/jurisdiction.
Revalidation
You are an individual, sole proprietor, or sole owner revalidating your current Medicare enrollment in response to a revalidation request.
Reactivation
You are an individual, sole proprietor, or sole owner wanting to reactivate your Medicare billing privileges.
Change of information
You are an individual, sole proprietor, or sole owner wanting to make changes to your existing Medicare enrollment (includes establishing or terminating a reassignment).
Voluntary termination
You are an individual, sole proprietor, or sole owner wanting to voluntarily terminate your Medicare enrollment.
855B
New enrollee
You are a Part B group or organization wanting to enroll to in Medicare for the first time.
Enrolling w/new FFS
You are a Part B group or organization enrolled with a Medicare contractor and is now requesting to enroll in another Medicare contractor’s state/jurisdiction.
Reactivation
You are a Part B group or organization wanting to reactivate your Medicare billing privileges.
Change of information
You are a Part B group or organization wanting to make changes to your existing Medicare enrollment.
Voluntary termination
You are a Part B group or organization wanting to voluntarily terminate your Medicare enrollment.
Revalidation
You are a Part B group or organization revalidating your current Medicare enrollment in response to a revalidation request.
855A
New enrollee
You are a Part A organization wanting to enroll to in Medicare for the first time.
Enrolling w/new FFS
You are a Part A organization enrolled with a Medicare contractor and is now requesting to enroll in another Medicare contractor’s state/jurisdiction.
Reactivation
You are a Part A organization wanting to reactivate your Medicare billing privileges.
Voluntary termination
You are a Part A organization wanting to voluntarily terminate your Medicare enrollment.
CHOW seller
You are a Part A organization undergoing a Change of Ownership CHOW), and you are the seller/former owner.
CHOW buyer
You are a Part A organization undergoing a Change of Ownership CHOW), and you are the buyer/new owner.
Acquisition merger/seller
You are a Part A organization undergoing an acquisition or merger, and you are the seller/former owner.
Acquisition merger/buyer
You are a Part A organization undergoing an acquisition or merger, and you are the buyer/new owner.
Consolidation former org
You are a Part A organization that has consolidated with another organization, and you are the former organization.
Consolidation new org
You are a Part A organization that has consolidated with another organization, and you are the new organization.
Change of information
You are a Part A organization wanting to make changes to your existing Medicare enrollment.
Revalidation
You are a Part A organization revalidating your current Medicare enrollment in response to a revalidation request.
20134
New enrollee
You are an MDPP supplier wanting to enroll to in Medicare for the first time.
Reactivation
You are an MDPP supplier wanting to reactivate your Medicare billing privileges.
Voluntary termination
You are an MDPP supplier wanting to voluntarily terminate your Medicare enrollment.
Change of information
You are an MDPP supplier wanting to make changes to your existing Medicare enrollment.
Revalidation
You are an MDPP supplier revalidating your current Medicare enrollment in response to a revalidation request.
588A- EFT application for a Part A provider
N/A
588B- EFT application for a Part B provider/supplier
N/A
460
N/A
Once you have selected your Application Type and Reason, click the “Browse” button to find the application that you have completed and saved on your computer. It is recommended to save the document as a notable name, like “John Smith CMS-855I application.PDF” as the gateway will not accept files that are not in a PDF format, or a non-CMS application type for initial enrollments. Click the “Upload” button once the appropriate document has been selected.
his is the screen the user will see when submitting an application. The user will select an application type and reason, and will browse from their documents to upload for submission.
Special note for revalidations: You must have your revalidation DCN available to upload an application in response to a revalidation request. Once you have chosen the Reason of Revalidation, an additional box will populate to request the revalidation DCN that has already been created for you.
is image shows the additional field required when submitting a revalidation application that requires the user to identify their revalidation DCN.
Correct revalidation DCN:
his image shows a green checkmark when a valid revalidation DCN has been entered for the submission of a revalidation application.
Incorrect revalidation DCN:
his image shows a red X and error message when an invalid revalidation DCN has been entered for the submission of a revalidation application.
The gateway will display each document uploaded for the submission:
cument upload display
The user will be able to delete the documents prior to submission only. Once the user has selected the “Submit” button and the applications and documents have been submitted, the documents or applications cannot be rescinded.
When the application(s) have been submitted, you will receive a submission ID. The submission ID will display on the confirmation page of the gateway:
ccessful submission
You will also receive an email confirming the submission ID and the NPI used for the application submission.
IMPORTANT: You must retain your submission ID and NPI to check the status or submit additional documentation for the application. You will receive a separate submission ID for each application submission.
Please allow a few days for First Coast to receive your application and assign it to a provider enrollment processing analyst. You will be able to obtain your document control number (DCN) immediately after the application(s) have been submitted. You will receive a DCN for each separate application submitted. The DCN can be obtained by checking your application status.
Checking your application status
The user can check the status of an application one of two ways:
1. Immediately after submitting an application to obtain the DCN.
2. Logging into the gateway after an application has already been submitted.
Checking the application status immediately after submitting an application to obtain the DCN.
1. To obtain the DCN immediately after submitting an application, click on the “CheckStatus” button:

heck status
2. Enter the Submission ID that you were just assigned, and select the “Submit” button:
his image shows the screen the user will see when they choose to check the status of their application submission.
3. You will receive information regarding the DCN, including the submitted application type, reason for application, DCN, and status of the application:
is image shows the screen the user will see when they have entered their submission ID and the status of their application is provided.
Please note that the application status is subject to change based on the processing of your application.
4. While checking on the status, you will be able to either submit another application, or submit a development response. Please note that you are submitting an application or development response for the NPI that you chose to use when initially signing in. If you are enrolling multiple providers, you may choose to log into the gateway using each individual NPI, but it is not required.
Checking the application status by logging info the gateway after an application has already been submitted.
1. Log into the gateway using the same NPI that you used to submit the application and select “Check application status”. Please note that the email address you choose to use is not required to be the same for all actions. You will receive another one-time code to the email address entered and enter it in the One-time access code field.
2. Enter the Submission ID that you were assigned, and select Submit:
his image shows the screen where the user may check on the status of submitted applications.
3. You will receive information regarding the DCN, including the submitted application type, reason for application, DCN, and status of the application:
his image shows the screen the user will see when they have entered their submission ID and the status of their application is provided.
Please note that you will not receive a notification email when the status of your application changes since the gateway does not store your email address.
Submitting a Development Response
IMPORTANT: You can only submit a development response for an application that was submitted through the gateway. You may not submit a development response for an application that was submitted outside the gateway, e.g., PECOS web, mail, fax, etc.
1. Log into the gateway using the same NPI that you used to submit the application and select “Submit development response”. Please note that the email address you choose to use is not required to be the same for all actions. You will receive another one-time code to the email address entered and enter it in the One-time access code field.
Enter the DCN that you have been assigned; please refer to the DCN indicated on the development letter that you received. The gateway will confirm the DCN and NPI combination after the DCN has been entered:his image shows the screen where a user has attempted to submit a development response for a DCN that is found in the system.
If the DCN and NPI combination do not match, you will receive this error:
his image shows the screen where a user has attempted to submit a development response for a DCN that is not found in the system.
If the DCN that you entered was assigned for an application that was not submitted through the gateway, you will receive this error:
his image shows the screen where a user has attempted to submit a development response for a DCN that is not found in the system.
Find the application or documentation you wish to submit saved on your computer by clicking the “Browse” button. Please note that the file you wish to upload as development does not need to be saved as a PDF file. Once you have selected your document, click the “Upload” button. The user will be able to delete the documents prior to submission only using the “Delete” button.
his image shows the screen where a user has uploaded a development response for a DCN that is found in the system.
Once the user has selected the “Submit development response” button and the applications and documents have been submitted, the documents or applications cannot be rescinded.
his image shows the confirmation screen where a user has submitted a development response for a DCN that is found in the system.
Accessing decision letters
The gateway application will make certain decision letters available after they have been issued. As we continue to develop the program, more decision letters will be available for review via the gateway.
1. Log into the gateway using the same NPI that you used to submit the application and select “Check application status”. Please note that the email address you choose to use is not required to be the same for all actions. You will receive another one-time code to the email address entered and enter it in the One-time access code field.
2. Enter the Submission ID that you were assigned and select Submit.
3. You will receive information regarding the DCN, including the submitted application type, reason for application, DCN, status of the application, and the Action column will display a new “View” button.
his image shows the screen where a user has searched submissions for decision letters.
4. Click the “View” button and scroll down below the table.
5. Click on the PDF icon in the Action column, and the letter will be displayed in a new browser tab, where you will be able to view, save, or print the decision letter.
his image shows the screen where a user may select the letter they wish to view by clicking on the PDF icon.
Please note that you will not receive a notification email when a decision letter has been issued through the gateway since the gateway does not store your email address.
Leaving the gateway
The gateway does not store your information, so you may simply close your browser and your current gateway session will be complete. If you wish to start your gateway session over to perform another action or resubmit an application for a different provider or supplier, you may select the Home link to be directed back the main page with the Disclaimer. You will be asked to confirm that you would like to start over.
his screen shows the Home button that the user can click to return to main page with the disclaimer to reenter the Gateway with different information.
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.