First Coast Options

First Coast Service Options (FCSO) is a specialized healthcare administrative services provider that serves as a Medicare Administrative Contractor (MAC) for the Centers for Medicare & Medicaid Services (CMS). The company is primarily responsible for processing Medicare Part A and Part B claims, ensuring that healthcare providers are reimbursed accurately and timely. Its jurisdiction covers Florida, Puerto Rico, and the U.S. Virgin Islands, supporting millions of Medicare beneficiaries and thousands of healthcare providers. Beyond claims processing, FCSO provides critical services such as provider enrollment, auditing, and comprehensive customer education and outreach. As a subsidiary of GuideWell, the company leverages extensive experience in the health insurance and administrative sectors to maintain high operational standards.