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Automatic Payments Via EFT Authorization Form

Automatic Payments Via EFT Authorization Form

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welcome to enrollment on demand in this video learn how to complete the electronic funds transfer EFT authorization agreement CMS 588 paper form whether submitting a paper form or using Pacos by following these step-by-step instructions it will help you to avoid delays in your application processing the information given in this training is correct as of today the most current information contained in this presentation can be found on the nidian Medicare website and the CMS website at the links listed on this Slide the CMS 588 form is a required agreement completed by organizations that submit the CMS 855a 85 55b or 855i applications for enrolling as institutions clinics or groups so owners and sole Proprietors the CMS 588 form is submitted for initial enrollments or reporting a change to the electronic funds transfer agreement and count information in respect to the revalidation the Medicare administrative contractors would like you to review the information on the enrollment record t

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