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Last Modified: 6/20/2018 Location: FL, PR, USVI Business: Part A

Where do I send the cost report FAQ

Q: Where do I send my completed cost report?
A: First Coast Service Options Inc. (First Coast) encourages all providers to submit cost reports and supporting documentation electronically whenever possible. In addition to the environmental benefits of this approach, it is also more efficient from a time and cost perspective.
We now offer the choice of filing your cost report via the MCReF (Medicare Cost Report e-Filing) portal. The new MCReF portal is a streamlined feature that allows your facility to submit your cost report same day electronically without the cost of sending any hard copy documents! The MCReF system is a secure site that allows for a safe and instant submission of protected health information (PHI). MCReF also notifies you instantly of any submission issues and also stores all your files, resulting in less rejection issues. Sign up today and save time and money!
Information on registering and filing can be found on the MCReF home page at: external link
Note: When Using MCReF to e-file your submission you can also now elect to sign electronically, saving time! (*See Below)
Another benefit of the MCReF portal is that it is a safe and secure site that does not require encryption of protected health information (PHI). Please ensure that any PHI submitted through MCReF is not encrypted or password protected to avoid resulting in a rejection of your submission.
If electing to mail your cost report manually, please send your completed cost report and all supporting documentation to:
First Coast Service Options, Inc.
JN Provider Audit & Reimbursement
PO Box 45268
Jacksonville, FL 32232
First Coast Service Options, Inc.
JN Provider Audit & Reimbursement
532 Riverside Avenue
Jacksonville, FL 32202
(via Priority mail or commercial carrier)
Checks should be made to the following address:
First Coast Service Options, Inc.
Medicare Part A Debt Recovery
PO Box 44179
Jacksonville, FL 32231-4094
First Coast Service Options, Inc.
Medicare Part A Debt Recovery
532 Riverside Avenue, ROC-17T
Jacksonville, FL 32202-4918
(via Priority mail or commercial carrier)
*Please note, effective for cost reporting periods ending on or after December 31, 2017, a provider that is required to file an electronic cost report may elect to electronically submit the settlement summary and certification statement with an electronic signature of the provider's administrator or chief financial officer. The checkbox for electronic signature and submission immediately follows the certification statement and must be checked if electronic signature and submission is elected.
If you are sending your report via FedEx, UPS, etc., and the bill of lading requires a phone number, it is 904-791-8566.
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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.