Get the free CMS-588

This document is used to authorize electronic funds transfers for Medicare payments to providers and suppliers.

How to fill out cms-588

How to fill out CMS-588

1. Obtain the CMS-588 form from the CMS website or your local Medicare office.
2. Fill in your legal name in the 'Provider Name' section.
3. Provide your National Provider Identifier (NPI) in the designated field.
4. Enter your address, including city, state, and ZIP code.
5. Complete the 'Billing Information' section with your billing address.
6. Include your contact information, such as phone number and email.
7. Specify the entity type (individual or organization) in the right section.
8. If applicable, include your tax identification number (TIN).
9. Review the form for accuracy and completeness.
10. Sign and date the form before submission.
11. Submit the completed CMS-588 form to your local Medicare contractor.

Who needs CMS-588?

1. Healthcare providers who want to enroll in the Medicare program.
2. Organizations that provide Medicare services.
3. Suppliers of durable medical equipment (DME) and other services eligible for Medicare.

People Also Ask about

What is a CMS claim form?

documentation, it should contain the name on the account, electronic routing transit number, account number and type. If submitting bank letterhead, the bank officer's name and signature is also required. This information will be used to verify your account number.

How to change bank information for Medicare?

To change accounts or banks, fill out a new CMS -588 application, using the new account information, by following our Enrollment on Demand Tutorials.

What is the CMS 588 form?

Completing the Medicare Enrollment Application - Electronic Funds Transfer (EFT) Authorization Agreement (CMS-588) application. The Electronic Funds Transfer (EFT) Authorization Agreement (CMS-588) application is used to have your Medicare payments deposited directly into your bank account.

What is required in CMS bank letter?

documentation, it should contain the name on the account, electronic routing transit number, account number and type. If submitting bank letterhead, the bank officer's name and signature is also required. This information will be used to verify your account number.

What is a CMS 588 form?

The Electronic Funds Transfer (EFT) Authorization Agreement (CMS-588) application is used to have your Medicare payments deposited directly into your bank account.

How to fill out an EFT authorization form?

6:51 9:36 Contractor. A good practice is to double check that the account holder. Name the routing number andMoreContractor. A good practice is to double check that the account holder. Name the routing number and the account number match what is on the supporting.

For pdfFiller’s FAQs

What is CMS-588?

CMS-588 is a form used by health care providers and suppliers to enroll in the Medicare program and to request payment for services provided to Medicare beneficiaries.

Who is required to file CMS-588?

Providers and suppliers who wish to enroll or make changes in their Medicare billing must file CMS-588.

How to fill out CMS-588?

To fill out CMS-588, you need to provide information about your entity, including legal name, business structure, billing information, and any relevant identification numbers such as NPI or tax ID.

What is the purpose of CMS-588?

The purpose of CMS-588 is to facilitate the electronic filing of Medicare claims and ensure that providers are correctly enrolled in the Medicare program.

What information must be reported on CMS-588?

The information that must be reported on CMS-588 includes provider name, address, telephone number, type of enrollment, and payment information such as bank account details for electronic funds transfer.