EFT CONTACT REQUEST UPDATE Fill Online, Printable, Fillable 2025

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To change your current EFT information, please complete an Electronic Funds Transfer (EFT) Authorization Agreement Form (CMS-588). Under section 1, check the box for change to current EFT enrollment.
Electronic Funds Transfer. With Electronic Funds Transfer (EFT), Medicare can send payments directly to a providers financial institution whether claims are filed electronically or on paper. All Medicare providers may apply for EFT.
EFT (Electronic Fund Transfer) formats are used to output a text file in a format to suit banking software. In some countries, each bank has a different format; in others the format is consistent.
To change your official address with Medicare, you have to contact Social Security, even if you dont get Social Security benefits. Here are three ways you can do this: Update your information in your my Social Security account using the My Profile Tab. (This is the fastest way to update your information)
Complete the: bank state branch (BSB) number; this six-digit number identifies the financial institution (do not include spaces or hyphens) account number; this number should not have more than nine characters (do not include spaces) account name; your account name should be as shown on your bank account records.
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It can take 6 to 8 weeks to change your bank account. You can get a new form at Medicare.gov or by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877- 486-2048. You have the right to get Medicare information in an accessible format, like large print, Braille, or audio.

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