Medicare Claims Processing Manual (Pub. 100-04), Ch. 22 § 80.3
EFT Enrollment Data Rule
80.3 - EFT Enrollment Data Rule
(Rev. 3288, Issued: 07-02-15, Effective: 08-03-15, Implementation: 08-03-15)
The CAQH CORE mandated operating rules establish standards for the enrollment of
providers to electronic funds transfer (EFT) programs. The rule mandates the required
data elements and the order in which they appear on the EFT enrollment forms. The rule
also mandates acceptable EFT enrollment submission formats.
A complete list of required data elements and submission formats are available at
http://www.caqh.org/Host/CORE/EFT-ERA/EFT_Enrollment_Data_Rule.pdf