First Coast Advantage (FCA) hosted it's first Provider In-service October 3, 4, 5, 2007.  This in-service was provided in an effort to assist our contracted providers with supplying FCA's members with the finest care possible. 

 

Provider In-Service Information

Provider In-Service Presentation Slides 

 

Additional In-Service Handouts

Contract Management Handouts

  • FCA Plan Matrix

  • NewsFlash/Newsletter S

  • Service Alerts

Enrollment/Eligibility & Disenrollment Handouts

  • Expectant Mother Form

  • Disenrollment Guidelines

  • Disenrollment Form

  •  Zip Codes for Duval County

Medical Management Pre-Authorization Handouts

  • Medical Pre-Authorization List

  • Medical Pre-Authorization form

  • Behavioral Health Additional Units Form

  • Behavioral Health Notification/Pre-Authorization Form

Medical Management Educational Handouts

  • Nutrition

  • Breast Feeding

  • Immunization

  • Childhood Check-ups

  • Prevention & Early Intervention

  • Substance Abuse

APEX (TPA) - Covered Services and Claims Handouts

  • Covered Services

  • EDI - Electronic Data Interchange (electronic submission of claims to TPA)

  • Provider/Hospital Claim form

  • EOP - Explanation of Payments from APEX

  • Pharmacy Pre-Auth Form