First Coast Service Options, INC. Begins QIC Part B North Operations Effective November 15, 2006
As you are aware, a separate contractor called a Qualified Independent Contractor, or "QIC", handles second level appeals, termed "reconsiderations". Beginning November 6, 2006, all redetermination letters, which communicate the results of the first level of appeal, will include instructions on how to request a reconsideration to the new QIC contractor, First Coast Service Options, Inc. (FCSO).
FCSO will begin processing these reconsiderations on November 15, 2006, for the North jurisdiction, which includes: Alaska, Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, District of Columbia, New York, Pennsylvania, New Jersey, Delaware, Maryland, Ohio, Kentucky, Indiana, Illinois, Michigan, Wisconsin, Minnesota, Missouri, Iowa, Kansas, Nebraska, South Dakota, North Dakota, Wyoming, Montana, Idaho, Washington, Oregon, California, Nevada, Arizona, Utah, Hawaii, Guam, Northern Mariana Islands, and American Samoa. The address to send the QIC reconsiderations to will be:
First Coast Service Options, Inc.
QIC Part B North Reconsiderations
P.O. Box 45208
Jacksonville, FL 32232-5208
Any additional documentation, new information or medical evidence that may assist the QIC in reevaluating the claim(s) should be attached to the written reconsideration request. If no additional information is submitted, a decision will be made based on the documentation contained in the AC's redetermination case file.
NOTE: To aid in the processing of your request and to avoid significant delays, a copy of the redetermination letter should accompany your reconsideration request.
