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Financial Reporting FAQs

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The Financial Reporting department is available to assist providers with the following issues:

CMS-588 Electronic Funds Transfer (EFT) agreement without a CMS-855

  1. Where do I find Form CMS-588 Electronic Funds Transfer agreement?

    The CMS-588 form can be found on the CMS website:
    Electronic Funds Transfer (EFT) Authorization Agreement

  2. How do I complete the CMS-588?

    Information and Helpful Hints to complete the CMS- 588 can be found on our Electronic Funds Transfer (EFT) Agreement CMS-588 page.

  3. Where do I mail my completed CMS-588?

    Mail your application with the original signature (no facsimile or photocopied signatures can be accepted) to WPS Medicare at the address listed in the Contact information page by selecting "Contact Us" in the top right of the page, then J5 MAC or J5 National Mailing Address Information, and scroll down to the Medicare Function and find Financial Reporting.

  4. What is the status of my Electronic Funds Transfer (EFT)?

    This information is not available online. Please contact us at our toll-free number, select "Contact Us" in the top right of the page, then Part A Telephone Contact Information, and scroll down to the Medicare Function and find Financial Reporting. We will need to verify the provider PTAN, NPI and the last five digits of the Tax ID prior to releasing information.

Tax Documents

  1. How do I receive a W-9 form for payments to WPS Medicare?

    Please contact us at our toll-free number, by selecting "Departments" from the top navigation, then Financial Reporting so we can assist you.

  2. How can I get information or a copy of my 1099?

    Please contact us at our toll-free number, by selecting "Departments" from the top navigation, then Financial Reporting so we can assist you. We will need to verify the provider PTAN, NPI and the last five digits of the Tax ID prior to releasing information.

Page Last Updated: Wednesday, 26-Nov-2014 12:28:53 CST