Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
DMEPOS suppliers are required to submit the EFT agreement with the application form when initially enrolling or submitting an application for a new location.
When completing the form, suppliers should ensure the form has the original signature of the authorized or delegated official. Further, suppliers must include with each form submitted a voided check, preprinted deposit slip or confirmation of account information on bank letterhead for verification of the account number.
The NSC will then send the agreement to the appropriate DME MAC for processing.
The CMS 588 (PDF, 112 KB) form may be downloaded from the CMS website.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article try to revise or expand it. In the meantime we recommend you:
Last Updated: 12/29/2015