FirstMedicare Direct  
FirstMedicare Direct HMO plans are rated 4 out of 5 Stars for calendar year 2020 by Centers for Medicare and Medicaid Services (CMS).
Click HERE for 2020 Stars information.
Click HERE for 2019 Stars information.


Filing a Claim

EDI Provider Number 56196. This number displays as our claims vendor, SS&C.

Billing address for paper claims:

FirstMedicare Direct
PO Box 830589     
Birmingham, AL 35283-0589

Claims that are filed using incorrect EDI numbers for the above dates of service will reject with a message to refile to correct payer.

If you have any questions or concerns please call Customer Service at (844) 201-4957 or Provider Relations at (910) 715-8115.

Thank you for your continued support and service to our members.

FirstCarolinaCare Insurance Company’s FirstMedicare Direct plans are HMO and PPO plans with a Medicare contract. Enrollment in a FirstMedicare Direct plan depends on contract renewal.This is a required statement by CMS. FirstCarolinaCare has filed and been approved to offer an HMO and a PPO Medicare Advantage Prescription Drug plan for 2020.


Page Last Updated:
Friday, October 02, 2020 11:12:40 AM