First Coast Advantage | Claims Information

First Coast Advantage is a fee-for-service provider sponsored network. First Coast Advantage uses the service of a third party administrator (TPA) to process claims, except as noted below.
The TPA, APEX, processes the claims and submits them to the state of Florida Medicaid programs fiscal agent, ACS. ACS then in turn pays the providers directly.
All claims must meet the Medicaid program claim requirements, including the required documentation