Provide the information required in the form below to request a reload of your remittance information. An email will be sent to you within an hour of submitting the form indicating the information you requested is available in your EDI Gateway mailbox.
Note: This page should only be used by trading partners who are directly submitting through the EDI Gateway and using their own submitter number. If you are sending/receiving your files through a clearinghouse, please contact your clearinghouse for any reload requests.
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.