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Welcome to First Coast Service Options, Inc.

First Coast has proudly served as one of the nation’s largest Medicare administrators for 50 years, and is the current Medicare Administrative Contractor (MAC) for Jurisdiction N (JN), which includes Florida, Puerto Rico and the U.S. Virgin Islands. As our name suggests, we are headquartered on Florida’s beautiful first coast, home to the nation’s oldest city, St. Augustine.

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.