Last Modified: 10/4/2018
Location: FL, PR, USVI
Business: Part A
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.
Report an overpayment
• Overpayment reporting form 
-- complete this form to notify First Coast Service Options (First Coast) of an overpayment.
-- complete this form to notify First Coast Service Options (First Coast) of an overpayment.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.
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
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