skip to content
Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. Information for Medicare beneficiaries is only available on the website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 2/15/2019 Location: FL, PR, USVI Business: Part A, Part B

EIDM and SPOT registration FAQ

Quick tips for requesting access to SPOT

Review your provider's information in internet-based PECOS. You will be required to enter the billing entity’s NPI, PTAN, last five digits of the TIN, the practice official’s name, and role as designated in the billing entity’s official Medicare enrollment record. If any of the information does not match the official record, the application will be denied.
EIDM and SPOT accounts may not be shared. Each account belongs to the individual.
Website viewing recommendations: Use the latest available version of Internet Explorer or other browser of choice and be sure compatibility view is turned off.
Please take your time answering remote identity verification (RIDP) questions from Experian. Incorrect answers will only delay your access to SPOT. Experian considers RIDP inquiries as “soft inquiries” that do not impact your credit report positively or negatively.
Q: How do I register for the Secure Provider Online Tool (SPOT)?
A: To obtain a SPOT account, you will need to complete a two-part registration process.
Note: New user registration is temporarily on hold as the SPOT approval process is optimized. Please view the following for further details:
Part I – You must create an account within the Enterprise Identity Management (EIDM) portal system. EIDM is a system which hosts web-based applications for the Centers for Medicare and Medicaid Services (CMS).
If you already have an EIDM account, you may proceed to Part II.
Note: EIDM accounts may not be shared.
Part II – Once your EIDM account is active, you may request access to SPOT.

Part I – Create your EIDM account

EIDM accounts are all about you: Your name, home address, telephone, and email address.

Related screenshots

1. Navigate to CMS’ EIDM portal: external link.

Select link for New User Registration.
EIDM home

2. Choose Your Application

Choose your application (SPOT) from the dropdown menu.
Choose your application

3. Review the Terms and Conditions

Review the terms and conditions, check the box, and click Next to continue

4. Register Your Information

This portion of the application is based on your personal information.
The information you enter here will be important later in the process for securing your access to SPOT.
Per CMS requirements, enter your:
Full name
Your Social Security number (optional)
Date of birth
Home address
Email address
Primary contact telephone number.
Click the Next button.
Register your information

5. Create User ID, Password & Security

Create a User ID for your EIDM account, which must meet the following parameters:
Required: Be a minimum of six and a maximum of 74 alphanumeric characters
Required: At least one letter
Optional: It may contain any of the following special characters:
Dashes (-)
Underscores (_)
Apostrophes (')
Periods (.) -- followed by alphanumeric characters.
Your User ID may not contain your SSN or any nine consecutive numbers
Create your Password for your EIDM account, which must meet the following parameters:
1. Be changed at least every 60 days.
2. Be a minimum of eight (8) and a maximum of 20 characters long.
3. Contain at least one number.
4. Contain at least one lower case letter.
5. Contain at least one upper case letter.
6. Contain at least one special character.
7. Be different from the previous six (6) passwords.
8. Not contain the User ID.
9. Not contain any words consisting of three (3) letters or more (ex. 12Cat34@).
10. Not contain any commonly used words.(ex. Password1234).
11. Not contain any digits in year format (ex. 2017).
12. Not contain the following special characters: ? < > ( ) ‘ “ / \ &.
Note: Passwords may only be changed once per day.
Confirm New Password
Complete the Select Your Security Questions and Answers section, which may be used to verify your identity
Click the Next button.
Create user ID, password and security

6. Review Registration Summary

Review your information and make changes before submitting.
Click Submit User

7. Confirmation Message

The confirmation message will appear.
In the message, click ‘here’ to return to the homepage and log in. Note: Please wait at least five minutes for your account to be configured before logging in.

8. Login

Log into EIDM external link with the User ID and password created.
EIDM home

9. My Portal

Once you’ve logged in, click ‘Request/Add Apps
My portal - request apps

10. Locate ‘SPOT’ with the ‘Access Catalog’ page.

Type SPOT in the ‘Start typing to filter apps’ field

11. Click the ‘Request Access’ button at the bottom of the SPOT’s catalog entry.

ccess Catalog Search

12. Request New Application Access page

Review the ‘Application Description’ entry and make sure it reads ‘SPOT-First Coast Service Options internet portal (FCSO)’
Click on the drop-down menu next to ‘Select a Role.’ Select ‘FCSO Portal User.’ Note: Do not select any other role.
Note: If you select the incorrect role (i.e., FCSO Help Desk User), your application will be denied, and you will need to begin the registration process from Step 1.
Click ‘Next
Request New Application Access - Step 9

13. Review Identify Verification information

Although your EIDM account has been created, you must wait at least five minutes before beginning the process for requesting access to SPOT.
The next steps will involve verifying the information you entered in steps one through five through information databases.
This process is known as Remote Identity Proofing (RIDP) external pdf file.
If you have established accounts through other EIDM hosted applications such as Provider Statistical and Reimbursement (PS&R) and PQRS, then you will not have to repeat RIDP.
Click ‘Next’
Identity verification

14. Review information about ‘Terms and Conditions

The Experian identity verification service is used by CMS to confirm your identity when you need to access a protected CMS Application.
If you have not previously been through CMS Enterprise Portal’s required identity verification, you may be prompted for RIDP when requesting access to SPOT.
You will be asked to provide a set of core credentials, which includes full name, current address, residential phone number, and Social Security number.
The Experian identity verification service will use your core credentials to locate your personal information in the Experian database and generate a set of questions.
Check ‘Terms and Conditions’ box to proceed.
Terms and Conditions

15. Enter ‘Your Information’ in each of the blank spaces.

Full legal name
Social Security number
Date of birth
Current residential address
Personal phone number
You must use your full legal name. Refer to your driver’s license or financial account information.
Your surname and other information, such as date of birth, must match the information Experian has for you on file.
Do not use nicknames.
If you have a two-part name, enter the second part in the middle name field. (i.e., Mary Beth would have Mary in the first name field and Beth in the middle name field)
Enter your current residential address:
Address where you receive financial statements including credit cards and/or utilities
Address you most consistently use for billing purposes
Address associated with your credit report
If you have a recent change in address, you can try to ID proof with a prior address.
Click ‘Next’
Your information

16. Complete the ‘Verify Information’ questions.

Click on the radio button next to each correct answer
Click ‘Next’
Verify identity

17. If your information is verified you will be ready to request access to SPOT.

Congratulations, you have completed the RIDP process.
Click ‘Next’
Proceed to Part II, scroll down to view further instructions on requesting access to SPOT.
Complete RIDP step up

18. If your information cannot be verified…

In the event your information cannot be verified through RIDP, you will be asked to contact Experian Verification Support Services.
You may return to this application once you have resolved the issue with the Experian database.
identity verification

19. Contacting Experian

When you contact Experian Verification Support Services, please keep your ‘Review Reference Number’ close at hand. If Experian is able to resolve the information, return to Step 6 in this process by logging into your EIDM account and begin the process of requesting access to SPOT.
When you arrive at Step 12 again, the ‘Your Information’ box will include a checkbox to confirm that you have contacted Experian and they have resolved the issue with your individual information.
Once you enter your information, the CMS EIDM system will verify your contact with Experian.
If Experian successfully verified your identity, you will be able to complete the SPOT access request form.
If Experian is unable to verify your identity, contact the SPOT Help Desk and request to be ‘manually verified.’
Your information
Note: You must proceed to Part II after you have completed your EIDM registration to request access to SPOT

Part II – Complete your request to access SPOT

When you request access to SPOT, it’s all about the organization: Billing provider’s NPI/PTAN/TIN, practice official name/role, and line of business address.
After you have established your EIDM account and your identity has been verified, (Part I of the SPOT registration process) you may request access to the SPOT application.
Before you begin, please verify the billing provider’s official enrollment record in internet-based PECOS external link.
The information submitted in your application will be compared to the corresponding information in the PECOS enrollment record. If any information does not match, your access request will be denied.
Note: If you require assistance during the application process, you may email or call 855-416-4199.

Related screenshots

20. Fill in the required information on the ‘Request New Application Access’ page.

The Name subsection of the application will be prepopulated with your full name and the last four digits of your SSN.
Note: The only editable fields in the Name subsection will be the Title drop-down menu and the Professional Credentials field.
Please enter your organization’s name and address in the Business Contact Information subsection
Note: If your organization’s address is located outside of First Coast’s jurisdiction (i.e., Florida, Puerto Rico, or the U.S. Virgin Islands) and you represent a provider within First Coast’s jurisdiction, you must use the provider’s business address. However, you may list your organization’s number in the Office Phone Number field.
Please enter your organization’s telephone number and your office number in the Phone subsection
Click the Next button to proceed to the next page of the application:
usiness Contact Information

21. Fill in the required information regarding the billing entity for which you will be using SPOT.

Enter the billing entity’s NPI, PTAN, last five digits of the TIN, and the practice official’s name and role as designated in the billing entity’s official enrollment record in internet-based PECOS.
Organizations that bill Medicare as a group, professional association, or corporation, should enter the group, professional association, or corporation’s NPI/PTAN/TIN and practice official that is listed in the official PECOS enrollment record for that organization.
If a provider bills Medicare under his or her own personal SSN/TIN, then the individual practitioner’s provider-specific information should be used.
Note: When you submit your application, the information submitted is compared to the official enrollment record in PECOS. If any of the information does not match the official record, including the role of the practice official, the application will be denied.
Enter the reason for your access request (e.g., Access to Medicare data)
Click the Next button.
ovider Profile

22. Review your information on the ‘Request New Application Access Review’ page.

If all of the information is correct, please click the Submit button.
Note: If you need to edit any information, click the Edit button, and the application will make all fields, except your name and SSN, editable. Once you have completed your corrections, click the Save button, which will return you to the Review screen.
pplication Review

23. Confirmation page

After you click the submit button on the previous page, the ‘Request New Application Access Acknowledgement’ page will appear.
Make note of your tracking number (e.g., 167539), and click the OK button.

24. Email confirmation

You will receive a confirmation email also containing the information provided on the acknowledgement page.
onfirmation email

25. The authentication and approval process for new users may take between five and seven days to complete.

If approved, you will receive an email similar to the one shown.
Note: If your request has been denied, you will receive an email outlining the reasons for the rejection. You will need to submit a new access request application with the corrected information.
pproval email

26. Multifactor authentication (MFA)

Once your account has been approved, you will need to register a multifactor authentication (MFA) device to access your SPOT account. This will be done within your EIDM profile.
Click on the | Enterprise Portal logo on the top left of your acknowledgement screen
Please review this information before registering your device.
First Coast provides this step-by-step guide to help you register your MFA device.
Register your MFA
list item Please use your browser's back button to return to the referring page.
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.