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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: 10/28/2021 Location: FL, PR, USVI Business: Part A

Electronic submission

Avoid the wait, submit electronically

Appeals forms

Providers, participating physicians, and other suppliers have the right to appeal claim decisions. Appeals must be submitted using the following forms:
more 1st level: Request for redetermination of a Part A claim
more 2nd level: Reconsideration request form -- C2C Innovative Solutions, Inc.
Florida pdf file
more 3rd level: Hearing by an administrative law judge
more 4th level: Medicare Appeals Council

Exception for timely filing

There are a few exceptions which allow an extension to the 12-month timely filing period. View the following resources for additional information.

Additional resources

more Understand when to file an appeal and the time limits for filing requests
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.