Medicare Administration

First Coast Is Committed To Providing Value For Our Customers.

First Coast Service Options, Inc. (First Coast) is committed to providing value for our customers. By that, we mean meeting customer expectations at the best possible price. Our primary customer, the Centers for Medicare & Medicaid Services (CMS), has very clear expectations: process Medicare claims timely and accurately, meet the service needs of Medicare beneficiaries and providers and diligently manage Medicare program finances. CMS properly expects that all this be done at the best possible price.

Claims Processing

As the primary traditional Medicare administrator in Florida, Puerto Rico and the U.S. Virgin Islands, we process millions of claims. We focus on the efficiency of our key business processes to continually improve transactional productivity for claims and inquiry processes every year. This improvement is driven by an organization-wide effort to ensure every aspect of claims processing facilitates accurate claims payment.

Customer Service

First Coast is proud to serve America's seniors and people with disabilities as well as physicians and health care providers who care for them in Florida, Puerto Rico and the U.S. Virgin Islands. First Coast responds to inquiries mainly through our telephone call center in Jacksonville, Fla. To reinforce the critical role providers play in filing claims correctly, First Coast's nationally-recognized education and training department uses various methods, such as creative and high-tech curricula design, to reach our large, diverse health care providers’ population throughout the nation.

Good Stewardship

Having nearly 50 years of experience in Florida, a state highly susceptible to Medicare fraud, has taught First Coast a lot about good stewardship. Over the years, First Coast has employed a wide range of payment safeguard tools that have saved billions of Medicare trust fund dollars, including playing a key role in fighting infusion drug and other fraud in South Florida, resulting in billions of Medicare program dollars saved.