First Coast Service Options, Inc.
Jacksonville, FL Doing business as Fcso
- UEI
- RK89KEJYQJR1
- CAGE
- 1M7H5
- Primary NAICS
- 524292 Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
- SAM.gov registration
- Active through
Company facts
- FY2025 rankings
- Self-certified in SAM.gov
- Entity structure
- Corporate Entity (Not Tax Exempt)
- Other NAICS codes in SAM.gov
-
- 518210 Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
- 524114 Direct Health and Medical Insurance Carriers
- 524291 Claims Adjusting
- 524298 All Other Insurance Related Activities
- 541211 Offices of Certified Public Accountants
- 541511 Custom Computer Programming Services
- 541512 Computer Systems Design Services
- 541519 Other Computer Related Services
- SAM.gov registration date
- Physical address
- 4800 Deerwood Campus Pkwy 400 1, Jacksonville, FL 32246, USA
- Website
- fcso.com
- Founded
- 1966
- Employees
- 251-1K
- Estimated annual revenue
- $50M-$100M
- Industry
-
- Financials
- Insurance
- SIC code
- 63 Insurance Carriers
- Profiles
Registration and certifications come from SAM.gov and the SBA; company details from public web sources. Updated .
Contract obligations by fiscal year
| Fiscal year | Obligated |
|---|---|
| FY2027 To date | $0 |
| FY2026 | $66,241,837 |
| FY2025 | $66,085,523 |
| FY2024 | $76,583,002 |
| FY2023 | $57,623,784 |
Top agencies by obligations
| Rank | Agency | Obligated, FY2026–FY2027 | Share |
|---|---|---|---|
| 1 | Department of Health and Human Services | $66,241,837 |
Contract awards
Contract subawards
| Prime contractor | Prime award | Amount | Awarded |
|---|---|---|---|
| CGI Federal Inc. | 75FCMC20F0067 | $150,000 | |
| CGI Federal Inc. | 75FCMC20F0067 | $82,497 |
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About the company
First Coast Service Options, Inc., doing business as Fcso, is a long-standing federal contractor that has been registered with SAM.gov since October 22, 1999. As a for-profit corporate entity, First Coast Service Options primarily serves as a Medicare Administrative Contractor (MAC) for the Centers for Medicare & Medicaid Services (CMS). The company specializes in administering Medicare Part A and Part B programs in specific jurisdictions, providing crucial support for the federal healthcare system. Their expertise lies in managing complex healthcare administrative tasks, including claims processing, provider services, and program integrity efforts for Medicare beneficiaries. First Coast Service Options plays a vital role in ensuring the efficient operation of Medicare programs in its designated areas of responsibility.
The most significant recent contract awarded to First Coast Service Options is a $558,623,425 Definitive Contract from CMS on May 1, 2022. This contract designates First Coast as the MAC for Jurisdiction N, which encompasses Florida, Puerto Rico, and the U.S. Virgin Islands, with a performance period extending to April 30, 2029. The contract involves a wide range of services, including offsite record storage, clinical review services, cost report desk reviews and audits, mailroom processing, customer contact center operations, and provider enrollment application processing. To fulfill these responsibilities, First Coast collaborates with several subcontractors, including Access Information Management Corporation for offsite record storage, Global Computer Products Inc. for clinical review services, Heffler, Radetich & Saitta L.L.P. for Part A cost report desk reviews and audits, and Cahaba Safeguard Administrators LLC for additional cost report services. Additionally, First Coast serves as a subcontractor to CGI Federal Inc., providing support services for contract deliverables, demonstrating its versatility in both prime and subcontractor roles within the federal contracting ecosystem. These contracts were awarded without any set-aside designations, indicating First Coast's ability to compete effectively in the open market for federal healthcare administration contracts.
Quick answers
Is First Coast Service Options, Inc. registered in SAM.gov?
Yes. First Coast Service Options, Inc.'s SAM.gov registration is active through April 8, 2027.
How much has First Coast Service Options, Inc. received in federal contracts?
Federal contracts obligated $66,085,523 to First Coast Service Options, Inc. in fiscal year 2025 and $266,534,147 in fiscal years 2023 through 2027.
How does First Coast Service Options, Inc. rank among federal contractors?
First Coast Service Options, Inc. ranked #8 in PSC G007, #12 in PSC G and #21 in NAICS 524 in FY2025.
What is First Coast Service Options, Inc.'s most recent federal award?
First Coast Service Options, Inc.'s most recent federal contract award is Part a/part b medicare administrative contractor (MAC) jurisdiction n (JN). Jurisdiction n includes the following… (75FCMC22C0018), from Centers for Medicare and Medicaid Services, on May 1, 2022.
On GovTribe
See First Coast Service Options, Inc.'s full federal record
- Federal contract awards
- IDV awards
- Subcontracting relationships
- Funding analysis by agency, NAICS and set-aside
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