Last Modified: 2/26/2021
Location: FL, PR, USVI
Business: Part A, Part B
Q: What happens to my application if it is submitted and is found to be incomplete?
A: When an incomplete application is submitted or is missing documents, the provider enrollment specialist will send a letter, send a fax or contact you by telephone outlining the missing information or attachment(s). For missing information on the CMS-855 application, the corrected sections of the application along with a new certification statement must be signed by an authorized official. This information can be faxed back to us since we have your original signature on file. If we are only missing supporting documentation the provider does not need to submit a new certification. You are only required to fax us copies of the missing documentation (e.g., copy of your IRS CP-575 form).
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.