Submit Part B financial documentation requests electronically
Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you to use. Additionally, submitting documentation electronically:
- Saves time, electronic submission eliminates mailing delays
- Eliminates administrative costs, electronic submission costs nothing
- Protects patient information, electronic submission is secure
- Allows for the immediate confirmation of receipt, electronic submission provides transaction confirmations
Read on to find out how you can avoid the wait by submitting electronically.
What are you trying to submit?
Immediate recoupment request
The immediate recoupment process is for providers who have received an overpayment demand letter from Medicare. You may elect to have your overpayment(s) repaid through the immediate recoupment process and avoid paying by check or waiting for the standard recoupment that begins 41 days from the date of the initial demand letter.
| Electronic Submission Method | Submission Instructions | Additional Resources |
|---|---|---|
| Fax |
The fax to image option allows for documentation to be submitted directly to First Coast. Fax responses to (904) 361-0444 |
For details and submission guidelines refer to Immediate Recoupment / Offset Request Form. |
ERS
An ERS is an option for returning overpaid money to First Coast. Ideally, a request for an ERS should be made immediately after receiving the initial demand letter; however, an ERS can be requested at any point in time the overpayment is outstanding.
| Electronic Submission Method | Submission Instructions | Additional Resources |
|---|---|---|
|
To facilitate prompt attention to your request for an ERS, please use the appropriate link below to access a checklist of information that is required: Extended Repayment Plan (ERP) Form – Corporation or group Extended Repayment Plan (ERP) Form - Sole Proprietor E-mail the documentation to FCSO-ERS@FCSO.com |
For more information, refer to Overpayment forms webpage. |
Bankruptcy notification
When a provider files for bankruptcy, First Coast must be notified immediately.
| Electronic Submission Method | Submission Instructions | Additional Resources |
|---|---|---|
|
Submit a copy of the notification to FCSO-BankruptcyNotification@fcso.com Include the following information:
|
For details and additional information refer to Notify First Coast Service Options if you file bankruptcy article |
First Coast offers free education on the submission methods described above. Access the following to learn more:
- Live Events calendar
- On-Demand Learning education
Back to the Avoid the wait home page to explore more topics and options for electronic submission: