Appeals
Update of the 2025 dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review
Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), requires an annual…
Overpayment request submission reminders
Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.
Overpayment request submission reminders
Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.
How to appeal a claim
First Coast offers multiple ways of appealing a claim denial. The most efficient way to do so is through First Coast’s portal, SPOT.
Submit Part B appeals and claim corrections electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…
How to appeal a claim
First Coast offers multiple ways of appealing a claim denial. The most efficient way to do so is through First Coast’s portal, SPOT.
Tutorial: Completing the Medicare Part A redetermination and clerical error reopening request form
Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.
How to complete the Medicare reconsideration request form (CMS-20033)
Find the appropriate forms to appeal claim decisions.