Forms

Access tools and forms related to the prior authorization program, CERT, and provider audit.

Access tools and forms related to the prior authorization program, CERT, and provider audit.

Use these self-service tools and forms related to claims.

Use these self-service tools and forms related to claims.

Use these self-service tools and forms to enroll as a Medicare provider or make changes to an existing enrollment record.

Use these self-service tools and forms to enroll as a Medicare provider or make changes to an existing enrollment record.

Providers who require a copy of IRS form 1099-MISC may send a request, in writing, to First Coast.

Providers who require a copy of IRS form 1099-MISC may send a request, in writing, to First Coast.

This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate, tentative settlement, NPR & NOC-PR determinations.

First Coast, as a MAC, is only responsible for withholding monies and/or taxes established by the United States federal government.