First Coast accepts medical records via: 

• Secure Provider Online Tool (SPOT)
• By fax: Use the first page of the ADR letter as the coversheet:
  • Fax to 904-361-0318
• Electronic Submission of Medical Documentation (esMD) | CMS
• By mail: See ADR letter for mailing address and instructions
• CD/DVD

For additional information on how to send medical records, please review medical documentation