CMS-588 Electronic funds transfer (EFT)

EFT is a form of direct deposit that allows the transfer of Medicare payments directly from a Medicare contractor’s bank to a provider’s bank account. CMS requires that all providers enrolling or changing existing enrollment information use EFT.

The EFT authorization agreement form may be submitted online through internet-based PECOS  or downloaded from the CMS website. The form must be complete, accurate, and include the original signature of the authorized/delegated official as well as the signature date. (Note: when submitting through internet-based PECOS, the EFT form is available for electronic signature).

A group does not need to submit an EFT form for each of its members. Only the group submits the form and indicates the group PIN and NPI if issued.

Internet-based PECOS instructions:

New Medicare providers – the EFT should be part of your initial enrollment

• View CMS’ PECOS Enrollment Tutorial – Initial Enrollment for an Organization/Supplier

• View CMS’ PECOS Enrollment Tutorial – Initial Enrollment for an Individual Provider

Existing Medicare providers – change or add EFT information

• View CMS’ PECOS Enrollment Tutorial – Change of Information for an Organization/Supplier

• View CMS’ PECOS Enrollment Tutorial – Change of Information for an Individual Provider

Mailing instructions

Mail the completed CMS-588 Form to:

First Coast Service Options 
PO Box 3409
Mechanicsburg PA 17055-1849

Check the status of your application with the Enrollment status lookup

Complete and accurate applications will usually be processed within 45-60 days. You will receive a confirmation letter when all processing has been completed. 

To check the status of your EFT application or any other provider enrollment application, you may use First Coast’s Enrollment status lookup. This versatile application allows you to check the status of your enrollment in the Medicare program in two ways. You may search for all pending applications by entering your National Provider Identifier (NPI) or provider transaction access number (PTAN), or you may check the status of a specific application by entering the 9 or 10-digit document control number (DCN).

If you have a general question about EFT agreements, you may call the appropriate number below:

Florida

• Medicare Provider Enrollment Part A & B -- (888) 845-8614
• Medicare Part A application -- (888) 664-4112
• Medicare Part B application -- (866) 454-9007

Puerto Rico

• Medicare Provider Enrollment Part A & B -- (888) 845-8614
• Medicare Part A application -- (877) 908-8433
• Medicare Part B application -- (877) 715-1921

U.S. Virgin Islands

• Medicare Provider Enrollment Part A & B -– (888) 845-8614
• Medicare Part A application -- (888) 664-4112
• Medicare Part B application -- (866) 454-9007