
Download the CMS 588 form from the CMS website Follow the instructions for completing the EFT authorization agreement included on the form Mail the form to the Medicare contractor that services your geographical area
Full Answer
How do I submit my EFT authorization agreement to DMEPOS?
Make a copy of the signed form for your records before mailing it to your Medicare Administrative Contractor (MAC) with your supporting documents and EFT Authorization Agreement form. Find your MAC (PDF). DMEPOS suppliers would submit their paper enrollment applications to the National Supplier Clearinghouse.
How do I submit my signed eft form to Medicare?
Make a copy of the signed form for your records before mailing it to your Medicare Administrative Contractor (MAC) with your supporting documents and EFT Authorization Agreement form. Find your MAC (PDF).
How do I apply for Medicare as a DMEPOS supplier?
The NSC processes all Medicare applications for DMEPOS suppliers. You can check in with the NSC regarding your enrollment status. Contact the NSC. DMEPOS suppliers are required to post a surety bond in the amount of $50,000 for each NPI they maintain. Post a Surety Bond. It’s important to keep your enrollment information up to date.
How does electronic funds transfer (EFT) work with Medicare?
With Electronic Funds Transfer (EFT), Medicare can send payments directly to a provider’s financial institution whether claims are filed electronically or on paper. All Medicare providers may apply for EFT. EFT is similar to other direct deposit operations such as paycheck deposits, and it offers a safe modern alternative to paper checks.

How do I set up EFT with Medicare?
All Medicare contractors include an EFT authorization form in the Medicare enrollment package, and providers can also request a copy of the form after they have enrolled. Providers simply need to complete the EFT enrollment process as directed by their contractor.
How do I update my Medicare EFT?
To change your current EFT information, please complete an EFT Authorization Agreement Form (CMS-588). Under section 1, check the box for change to current EFT enrollment. The EFT authorization agreement form is in the Enrollment Center of our website.
What is EFT authorization form?
Electronic Funds Transfer (EFT) Authorization. Use this form to establish standing Electronic Funds Transfer (EFT) instructions on your Fidelity account, including eligible retirement and nonretirement accounts. Do NOT use this form to request a specific transaction.
How do I apply for EFT?
You can sign up for EFT through your Revenue Online account or by using the DR 5785. You will receive a unique identifier number and instructions on where to send the payment and the necessary formatting of the ACH credit transaction. EFT credit payments can be made upon receipt of the EFT number.
Does Medicare require EFT?
A: All providers enrolling in Medicare must use electronic funds transfer (EFT) in order to receive payments. Moreover, any provider not currently on EFT that submits a revalidation application must also submit a Form CMS-588 and thereafter receive payments via EFT.
How do I update my bank details with Medicare?
account number.Step 1: sign in. Sign in to myGov and select Medicare. If you're using a computer, sign in to myGov and select Medicare. ... Step 2: change your bank details. Select Edit in Bank details. Update your bank details and enter your: ... Step 3: sign out. From the homepage you can complete other transactions.
What information do I need to send an EFT?
In order to receive an EFT, you need to share your banking details with the person sending you one, including your institution number, your branch number and account number, and your transit number.
What information is needed to set up EFT?
Because direct deposits are electronic fund transfers that always go through the ACH network, you will need to obtain an employee's bank name, account number and bank routing number, as well as the type of account. Once this information is received, you can set up the direct deposit details with your own bank account.
Where do I send my CMS 588 form?
Submit the most current CMS-588 EFT Form....CMS-588 EFT Form Instructions and Helpful Hints.Regular MailOvernight MailWPS Government Health Administrators Provider Enrollment P.O Box 8248 Madison, WI 53708-8248WPS Government Health Administrators Provider Enrollment 1717 W. Broadway Madison, WI 53713Feb 4, 2016
What is an example of an EFT?
Electronic funds transfer example ATMs. Online peer-to-peer payment apps like PayPal and Venmo. Pay-by-phone systems. Wire transfers.
What is DMEPOS in Medicare?
Suppliers who receive Medicare reimbursement for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) are required to: If your business doesn’t dispense or furnish DMEPOS, you should use the Medicare Enrollment Guide for Providers & Suppliers.
What to do if your business doesn't dispense DMEPOS?
If your business doesn’t dispense or furnish DMEPOS, you should use the Medicare Enrollment Guide for Providers & Suppliers. If you’re enrolling a hospital, critical care facility, skilled nursing facility, home health agency, hospice, or other similar institution, you should refer to the Medicare Enrollment Guide for Institutional Providers.
How long does it take to change your Medicare billing information?
It’s important to keep your enrollment information up to date. To avoid having your Medicare billing privileges revoked, be sure to report any change within 30 days. Changes include, but are not limited to: a change in ownership. an adverse legal action. a change in practice location.
How much is PECOS 2020?
Complete the online PECOS application. The Medicare Application Fee for 2020 is $595. You can pay the fee on the PECOS Medicare Fee Payment page.
What is EFT in Medicare?
EFT is a process whereby a supplier's Medicare payments are directly deposited into their bank account. It is safe and results in faster payment. Direct deposits also eliminate the possibility of lost or delayed checks and reduces probability of human error.
What happens if you don't send in EFT?
If required information is not sent in, the EFT request will not be processed and will be followed by a denial letter. Incomplete or inaccurate information on an application can delay processing time. The EFT application can be rejected for many reasons. View common processing errors below.
Who must sign EFT form?
The EFT authorization form must be signed and dated by the same Authorized Representative or a Delegated Official named on the CMS -855 Medicare enrollment application which the Medicare contractor has on file. Include a telephone number where the Authorized Representative or Delegated Official can be contacted.
Can a spouse share ownership of a bank account with Medicare?
Spouses, partners, or other individuals cannot share ownership for a bank account used with Medicare. Bank Letter, must include: Must be submitted with the bank's letterhead.
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