Appeals

Displaying 1 - 10 of 51

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…

Tools & forms: Overpayments

Find the appropriate forms to report or dispute an overpayment.

Tools & forms: Overpayments

Find the appropriate forms to report or dispute an overpayment.

Tools & forms: Appeals

Use these self-service tools and forms to appeal claim decisions.

Tools & forms: Appeals

Use these self-service tools and forms to appeal claim decisions.

Submit Part A financial documentation requests 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…

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…

Submit Part B financial documentation requests 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…

Submit Part A 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.