FIRST COAST SERVICE OPTIONS, INC.

FIRST COAST SERVICE OPTIONS, INC. specializes in administering Medicare Part A and Part B claims processing and beneficiary services as a Medicare Administrative Contractor (MAC) for the Centers for Medicare & Medicaid Services under the Department of Health and Human Services. Their core capabilities include end-to-end claims adjudication, provider enrollment and credentialing, fraud detection and prevention, beneficiary outreach, and complex payment integrity operations across large-scale federal health programs. The contractor brings deep expertise in Medicare fee-for-service workflows, HIPAA-compliant data exchange, electronic remittance advice (ERA), and real-time claims processing systems, with proven experience managing jurisdiction-wide operations across multiple states and U.S. territories. Their technical proficiency includes legacy system modernization, interoperability with CMS platforms, and adherence to stringent federal audit and reporting standards. The contractor has established a sustained relationship with the Department of Health and Human Services, consistently delivering Medicare administrative services under the MAC program. Their work supports CMS’s mission to ensure accurate, timely, and compliant processing of healthcare claims for millions of beneficiaries, demonstrating a long-term commitment to federal health infrastructure. Their primary industry focus is on direct health and medical insurance carriers, specifically within the Medicare fee-for-service ecosystem. This positions them as a specialized provider of government-contracted claims administration, distinct from commercial insurers or managed care organizations. They operate at the intersection of federal healthcare policy and operational execution, serving as a critical intermediary between providers, beneficiaries, and CMS systems. FIRST COAST SERVICE OPTIONS, INC. is a small business structured as a 2L entity, headquartered in Jacksonville, Florida. While they hold no formal government certifications, their operational footprint is defined by their direct, high-stakes role in national Medicare administration, anchoring their market presence in federal health services rather than commercial insurance markets.