{"id":15410,"date":"2022-05-11T19:14:23","date_gmt":"2022-05-11T19:14:23","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=15410"},"modified":"2025-10-24T13:18:39","modified_gmt":"2025-10-24T13:18:39","slug":"data-fields-in-medicare-eft-enrollment","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/data-fields-in-medicare-eft-enrollment\/","title":{"rendered":"Data Fields in Medicare EFT Enrollment"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Electronic Funds Transfer (EFT) allows Medicare to transfer payments directly to the provider&#8217;s financial institution. The Medicare EFT Authorization Agreement (CMS-588) is required for:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">new provider enrollments;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">enrolled providers who are not already on EFT; and<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">requesting a change to your existing EFT account information.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Most providers find EFT (Electronic Fund Transfer) and ERA (Electronic Remittance Advice) enrollment difficult. In this article, We shared important data fields for Medicare EFT enrollment. Most of the are \u2018required\u2019 data fields and keeping them blank or sharing wrong information may reject or delay your application. A basic understanding of them would help to enroll with Medicare quickly and without any error.<\/span><\/p>\n<h2>Data Fields in Medicare EFT Enrollment<\/h2>\n<h3><span style=\"font-weight: 400;\">Provider Information<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Provider Name:<\/strong> This field must contain the complete legal name of the institution, corporate entity, practice, or individual provider.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Doing Business As Name (DBA):<\/strong> A legal term used in the United States meaning that the trade name, or fictitious business name, under which the business or operation is conducted and presented to the world is not the legal name of the legal person (or persons) who actually own it and are responsible for it.\u00a0<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Provider Address\u00a0<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Street:<\/strong> The number and street name where a person or organization can be found<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>City:<\/strong> City associated with provider address field<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>State\/Province:<\/strong> Two Character Code associated with the State\/Province\/Region of the applicable Country<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>ZIP Code\/ Postal Code:<\/strong> ZIP Code\/ Postal Code<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Country Code:<\/strong> Country Code<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Provider Identifiers<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Provider Federal Tax Identification Number (TIN) or Employer Identification Number (EIN):<\/strong> A Federal Tax Identification Number, also known as an Employer Identification Number (EIN), is used to identify a business entity.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>National Provider Identifier (NPI):<\/strong> The NPI is a unique identification number for covered healthcare providers. Covered healthcare providers and all health plans and healthcare clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10- position, intelligence-free numeric identifier (10-digit number).\u00a0<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Other Identifier(s)<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Assigning Authority (required if Identifier is collected):<\/strong> Organization that issues and assigns the additional identifier requested on the form, e.g., <a href=\"https:\/\/www.cms.gov\/\">Medicare, Medicaid<\/a><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Trading Partner ID (optional):<\/strong> The provider\u2019s submitter ID assigned by the health plan or the provider\u2019s clearinghouse or vendor<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Provider License Number<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Provider Type:<\/strong> A proprietary health plan-specific indication of the type of provider being enrolled for EFT with a specific provider type description included by the health plan in its instruction and guidance for EFT enrollment (e.g., hospital, laboratory, physician, pharmacy, pharmacist, etc.)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Provider Taxonomy Code:<\/strong> A unique alphanumeric code, ten characters in length. The code set is structured into three distinct \u2018Levels\u2019 including Provider Type, Classification, and Area of Specialization.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Retail Pharmacy Information<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Pharmacy Name:<\/strong> Complete name of the pharmacy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Chain Number (optional):<\/strong> Identification number assigned to the entity allowing linkage for a business relationship, i.e., chain, buying groups, or third-party contracting organizations. Also maybe known as Affiliation ID or Relation ID<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Parent Organization ID (optional):<\/strong> Headquarters address information for chains, buying groups, or third-party contracting organizations where multiple related entities exist and need to be linked to a common organization such as common ownership for several chains<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Payment Center ID (optional):<\/strong> The assigned payment center identifier associated with the provider\/corporate entity<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Financial Institution Information<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Financial Institution Name:<\/strong> Official name of the provider\u2019s financial institution<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Financial Institution Telephone Number:<\/strong> A contact telephone number at the provider\u2019s bank<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Financial Institution Routing Number:<\/strong> A 9-digit identifier of the financial institution where the provider maintains an account to which payments are to be deposited<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Type of Account at Financial Institution:<\/strong> The type of account the provider will use to receive EFT payments, e.g., Checking, Saving<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Account Number Linkage to Provider Identifier:<\/strong> Provider preference for grouping (bulking) claim payments, must match preference for v5010 X12 835 remittance advice<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Submission Information<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Voided Check:<\/strong> A voided check is attached to provide confirmation of Identification\/Account Numbers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Bank Letter:<\/strong> A letter on bank letterhead that formally certifies the account owner&#8217;s routing and account numbers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Authorized Signature:<\/strong> The signature of an individual authorized by the provider or its agent to initiate, modify or terminate an enrollment. It May be used with electronic and paper-based manual enrollment\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Submission Date:<\/strong> The date on which the enrollment is submitted (CCYYMMDD: The date format is MM\/DD\/CCYY where MM represents a two-digit month, DD represents a two-digit day of the month, CC represents a two-digit century, and YY represents a two-digit year.)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Requested EFT Start\/Change\/ Cancel Date:<\/strong> The date on which the requested action is to begin (CCYYMMDD)<\/span><\/li>\n<\/ul>\n<h2>FAQs<\/h2>\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1761311860397\"><strong class=\"schema-faq-question\">1. What is the purpose of the CMS-588 form?<\/strong> <p class=\"schema-faq-answer\">The CMS-588 form is used for Electronic Funds Transfer (EFT) enrollment with Medicare, required for new provider enrollments, those not already on EFT, or those requesting a change to their EFT account details.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1761311873708\"><strong class=\"schema-faq-question\">2. What information is required for Medicare EFT enrollment?<\/strong> <p class=\"schema-faq-answer\">Key required information includes provider details (name, address, TIN\/EIN, NPI), financial institution information (name, routing number, account type), and a voided check or bank letter for verification.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1761311883505\"><strong class=\"schema-faq-question\">3. What is a National Provider Identifier (NPI)?<\/strong> <p class=\"schema-faq-answer\">The NPI is a unique 10-digit number assigned to healthcare providers for use in administrative and financial transactions under HIPAA, required for EFT enrollment.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1761311893605\"><strong class=\"schema-faq-question\">4. Can a provider include a third-party identifier in their EFT enrollment?<\/strong> <p class=\"schema-faq-answer\">Yes, providers can include a Trading Partner ID, which is assigned by the health plan or clearinghouse, though this is optional.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1761311902557\"><strong class=\"schema-faq-question\">5. What documents are required to verify financial account details during EFT enrollment?<\/strong> <p class=\"schema-faq-answer\">Providers must submit a voided check or a bank letter that certifies the account&#8217;s routing and account numbers to confirm EFT details.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Electronic Funds Transfer (EFT) allows Medicare to transfer payments directly to the provider&#8217;s financial institution. The Medicare EFT Authorization Agreement (CMS-588) is required for:\u00a0 new provider enrollments; enrolled providers who are not already on EFT; and requesting a change to your existing EFT account information. Most providers find EFT (Electronic Fund Transfer) and ERA (Electronic [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":15411,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[3422,3423,3424],"class_list":["post-15410","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-billing-services","tag-data-fields-in-medicare-eft-enrollment","tag-medicare-eft","tag-medicare-eft-enrollment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Data Fields in Medicare EFT Enrollment<\/title>\n<meta name=\"description\" content=\"We shared important data fields for Medicare EFT enrollment. A basic understanding of EFT would help to enroll with Medicare quickly.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/data-fields-in-medicare-eft-enrollment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Data Fields in Medicare EFT Enrollment\" \/>\n<meta property=\"og:description\" content=\"We shared important data fields for Medicare EFT enrollment. A basic understanding of EFT would help to enroll with Medicare quickly.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.medicalbillersandcoders.com\/blog\/data-fields-in-medicare-eft-enrollment\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Billing and RCM Blogs\" \/>\n<meta property=\"article:published_time\" content=\"2022-05-11T19:14:23+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-24T13:18:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/Data-Fields-in-Medicare-EFT-Enrollment.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"748\" \/>\n\t<meta property=\"og:image:height\" content=\"288\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Medical Billers and Coders\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Medical Billers and Coders\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/\"},\"author\":{\"name\":\"Medical Billers and Coders\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#\\\/schema\\\/person\\\/76d3509f0e1252992227e858251f1a8b\"},\"headline\":\"Data Fields in Medicare EFT Enrollment\",\"datePublished\":\"2022-05-11T19:14:23+00:00\",\"dateModified\":\"2025-10-24T13:18:39+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/\"},\"wordCount\":939,\"publisher\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/Data-Fields-in-Medicare-EFT-Enrollment.jpg\",\"keywords\":[\"Data Fields in Medicare EFT Enrollment\",\"Medicare EFT\",\"Medicare EFT Enrollment\"],\"articleSection\":[\"Medical Billing Services\"],\"inLanguage\":\"en-US\",\"copyrightYear\":\"2022\",\"copyrightHolder\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#organization\"}},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/\",\"name\":\"Data Fields in Medicare EFT Enrollment\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/Data-Fields-in-Medicare-EFT-Enrollment.jpg\",\"datePublished\":\"2022-05-11T19:14:23+00:00\",\"dateModified\":\"2025-10-24T13:18:39+00:00\",\"description\":\"We shared important data fields for Medicare EFT enrollment. 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The main goal of our organization is to assist physicians looking for billers and coders, at the same time help billing specialists looking for jobs, reach the right place.\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/#faq-question-1761311860397\",\"position\":1,\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/#faq-question-1761311860397\",\"name\":\"1. What is the purpose of the CMS-588 form?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The CMS-588 form is used for Electronic Funds Transfer (EFT) enrollment with Medicare, required for new provider enrollments, those not already on EFT, or those requesting a change to their EFT account details.\",\"inLanguage\":\"en-US\"},\"inLanguage\":\"en-US\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/#faq-question-1761311873708\",\"position\":2,\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/data-fields-in-medicare-eft-enrollment\\\/#faq-question-1761311873708\",\"name\":\"2. 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