CMS Pub. 100-08, ch. 10, § 10.6.10

A. Electronic Fund Transfers (EFT)

If a provider does not have an established enrollment record in the Provider Enrollment, Chain

and Ownership System (PECOS) and wants to change any of its EFT information (e.g., bank

routing number), it must submit a complete Form CMS-855 or Form CMS-20134 before the

contractor can effectuate the change.

It is immaterial whether the provider or the bank was responsible for triggering a change to EFT

data (e.g., bank routing number).

Under 42 CFR § 424.510(d)(2)(iv) and § 424.510(e):

(i) All providers (including federal, state and local governments) enrolling in Medicare must use

EFT in order to receive payments. However, a revalidating provider/supplier need not submit

the most current version of the Form CMS-588 with its application unless: (1) it has no Form

CMS-588 on file at all; or (2) it is changing any of its existing Form CMS-588 data.

(ii) If a provider is already receiving payments via EFT and is located in a jurisdiction that is

undergoing a change of Medicare contractors, the provider must continue to receive payments

via EFT. However, the change in contractors does not require the provider to submit a new

Form CMS-588 unless CMS states otherwise.

(iii) For PECOS applications, the Form CMS-588 shall be submitted via PECOS.

The contractor shall also follow the EFT instructions in sections 10.3(C)(2) and 10.6.23 of this

chapter.

B. Assignment of Part B Provider Transaction Access Numbers (PTANs)

1. Paper Applications - The contractor shall only assign the minimum number of PTANs

necessary to ensure that proper payments are made. The contractor shall not assign additional

PTAN(s) to a supplier merely because the individual or entity requests one - the only exception

being for hospitals that request separate billing numbers for their hospital departments in the

Identifying Information/Hospitals Only section of the Form CMS-855B. However, a hospital

requesting an additional PTAN must associate the new PTAN with a National Provider Identifier

(NPI) in the Practice Location Information section of the Form CMS-855B.

2. PECOS Applications – See section 10.3 of this chapter for information regarding the issuance

of PTANs

C. NPI-Legacy Combinations

If the contractor determines that a provider is having claim payment issues due solely to an

incorrect NPI-PTAN combination or NPI-CMS Certification Number (CCN) combination

entered into PECOS, the contractor shall request that the provider submit the correct NPI-legacy

combination via a Form CMS-855 or CMS-20134 change of information. The change request

can be faxed, although the contractor shall verify the faxed signature against the provider’s or

authorized/delegated official’s signature on file before any changes are made in PECOS.

The contractor shall not use this process to resolve any enrollment issue other than the correction

of the NPI-legacy identifier combination. Moreover, the contractor shall not use this process for

providers that have not submitted a complete Form CMS-855 or CMS-20134 enrollment

application during or after May 2006. For instance, assume a provider first enrolled in Medicare

in December 2005 and has not submitted a complete enrollment application after that date. The

provider would be unable to utilize the process described in this section.