Form CMS-588 Electronic Funds Transfer (Eft) Authorization Agreement

Form CMS-588 Electronic Funds Transfer (Eft) Authorization Agreement

What Is Form CMS-588?

This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on December 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CMS-588?
A: Form CMS-588 is the Electronic Funds Transfer (EFT) Authorization Agreement.

Q: What does the Form CMS-588 authorize?
A: The Form CMS-588 authorizes the Centers for Medicare & Medicaid Services (CMS) to make payments through electronic funds transfer.

Q: Why should I complete the Form CMS-588?
A: Completing the Form CMS-588 allows for faster and more secure payment of Medicare fee-for-service claims.

Q: Can I submit the Form CMS-588 electronically?
A: Yes, you can submit the Form CMS-588 electronically through the CMS EFT system.

Q: Is there a deadline for submitting the Form CMS-588?
A: There is no specific deadline for submitting the Form CMS-588, but it is recommended to complete and submit the form as soon as possible.

Q: What if I need to change my banking information?
A: If you need to change your banking information, you can submit a revised Form CMS-588 with the updated information.

Q: What if I have questions or need assistance with the Form CMS-588?
A: If you have questions or need assistance with the Form CMS-588, you can contact your Medicare Administrative Contractor (MAC) for guidance.

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Form Details:

  • Released on December 1, 2020;
  • The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CMS-588 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.

Download Form CMS-588 Electronic Funds Transfer (Eft) Authorization Agreement

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