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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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Last Modified: 10/31/2021 Location: FL, PR, USVI Business: Part A, Part B

Electronic submission

oid the wait, submit electronically

Overpayment forms

Providers, participating physicians, and other suppliers may occasionally receive improper payments based on Medicare regulations. Once an overpayment has been identified, any excess amount is considered a debt owed to Medicare and must be paid upon receipt of an overpayment notice.
First Coast has revised the Return of Monies Voluntary Refund and Extended Repayment Schedule (ERS) Request forms, used for overpayments. Please use the following forms for accurate submission and mailing information.

Report an overpayment

Complete an overpayment refund form to notify First Coast of an overpayment prior to receiving a demand letter.

Request immediate recoupment

Learn how to have overpayments immediately offset as funds become available. This process is a convenient and cost effective way to pay demanded debt.


To dispute an overpayment identified in a demand letter use the appropriate overpayment redetermination request forms listed below.
MSP pdf file

Extended repayment schedule

If you are experiencing financial difficulties in repaying debt, an extended repayment schedule may be considered. Complete the following information along with all supporting documentation:

Additional resources

Overpayment request submission reminders
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