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Get Cms 588 2020-2025
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How to fill out the Cms 588 online
The Cms 588 form is an electronic funds transfer authorization agreement that enables providers and suppliers to receive Medicare payments via direct deposit. This guide provides clear and supportive instructions to help you complete the form accurately and efficiently.
Follow the steps to successfully fill out the Cms 588 form online.
- Press the ‘Get Form’ button to access the Cms 588 form and open it in your preferred online editor.
- In Part I, indicate the reason for submission by checking the appropriate box for either 'New EFT Authorization' or 'Revision to Current Authorization'. If applicable, attach the letter authorizing EFT payment to the home office.
- In Part II, fill in the provider or supplier information. Provide the legal business name, street address, city, state, zip code, tax identification number, and Medicare identification number if assigned.
- For Part III, enter the financial institution information. You will need to provide the financial institution's name, city, state, telephone number, routing transit number, depositor account number, and check the appropriate account type (checking or savings).
- In Part IV, include the contact person's name, title, telephone number, and email address for any questions regarding the submitted information.
- For Part V, complete the authorization section. Print the authorized or delegated official’s name, telephone number, title, email address, and obtain an original signature in black or blue ink on the designated line.
- Once all sections are completed, ensure you save any changes made to the form. You can then download, print, or share the completed Cms 588 form as needed.
Complete your Cms 588 form online today to ensure timely processing of your Medicare payments.
The CMS 588 form is a key part of the electronic payments process for Medicare providers. It allows providers to authorize CMS to deposit their payments directly into their bank account. Think of it as a bridge that connects your services with the financial aspects of your practice through efficient electronic payments.
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