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Welcome to First Coast Service Options, Inc.

First Coast Service Options (First Coast) has proudly served as one of the nation’s largest Medicare administrators for nearly 50 years, and is the current Medicare Administrative Contractor (MAC) for Jurisdiction 9 (J9), which includes Puerto Rico, the U.S. Virgin Islands and Florida.

As our name suggests, we are headquartered on Florida’s beautiful first coast, home to the nation’s oldest city, St. Augustine. First Coast is one of Jacksonville’s largest employers with more than 1,000 staff in the city. Approximately 100 other associates are located in Miami, Orlando and Tampa, Fla.; and Columbus, Ga.

First Coast’s mission is strongly linked to the Medicare program and the beneficiaries it serves. We contract with the Centers for Medicare & Medicaid Services (CMS) to provide quality Medicare administrative services to the beneficiaries in Florida, Puerto Rico and the U.S. Virgin Islands and the health care providers who serve them. These services include claims processing, customer service, provider audit and reimbursement, provider enrollment, and various education and outreach activities. First Coast also performs financial management functions for CMS that help ensure the appropriateness of the Medicare benefit payments we issue.

Everything First Coast does is guided by our company’s values:
the right things, the right way
.