Effective February 01, 2012, First Coast Advantage (FCA) will not process any updates (adds, changes, terms) for existing Providers within a participating group, unless the update is submitted using the Provider Update Request form located on the FCA website at www.firstcoastadvantage.com/Provider Information/Forms/Miscellaneous / Provider Forms.

Form(s) must be submitted via email or fax to the appropriate FCA staff.  This process also includes Provider Panel status updates/changes.

 If the form is not completely filled out; the update will not be processed.  If there are any fields that are not applicable it must be indicated with "N/A".

Note: University of Florida Physicians Jacksonville may have different reporting requirements. Contact FCA Network Operations for clarification / questions.

If you have any further questions, please contact FCA Network Operations Specialist at 904-244-9717.