The IVR will repeat the number entered. Press 1 if the number entered is correct. If you would like to reenter the number, press 2. To enter a beneficiary's Medicare number: Press 1 for the Medicare Beneficiary Identifier (MBI). To enter an MBI:
Full Answer
When do I need to submit MBI to Medicare?
Effective January 1, 2020: The MBI is required for all transactions submitted to Medicare including (not all inclusive) Claim Submission: electronic and paper claim submissions for all dates of service. Claims received with HICNs will be rejected, even for dates of service prior to January 1, 2020.
What is a Medicare beneficiary identifier (MBI)?
Every person with Medicare has been assigned a Medicare Beneficiary Identifier (MBI) and issued a new Medicare card. The MBI is confidential and should be protected as Personally Identifiable Information. Effective January 1, 2020: The MBI is required for all transactions submitted to Medicare including (not all inclusive)
How do I find the MBI number for a patient?
How to Obtain the MBI: Ask your patients for their cards. If they did not get a new card, refer them to the Medicare.gov Your Medicare Card website. Use the MBI Lookup Tool in myCGS.
What is the IVR number for CGS Medicare Part B?
This allows our Customer Service Staff to be available when you need dedicated assistance for your complex issues. For callers, if your inquiry cannot be resolved through the IVR, you may reach a customer service representative by calling 1.866.276.9558. "You have reached the Interactive Voice Response Access line for CGS Medicare Part B.
How do I add my Medicare number to my IVR?
Patient's Medicare Number Press "1" if the Medicare number ends in a letter or letter-number combination. Press "2" if the Medicare number begins with one or more letters. Enter the first 9 digits of the Medicare number. Any other letter press "0" for the customer service representative phone number.
How do I find out my MBI number?
You can identify them by the RRB logo on their card, and we return a “Railroad Retirement Medicare Beneficiary” message on the Fee-For-Service (FFS) MBI eligibility transaction response. The beneficiary or their authorized representative can request an MBI change. CMS can also change an MBI.
What is a MBI Medicare number?
The Medicare Beneficiary Identifier (MBI) is the new identification number that has replaced SSN-based health insurance claim numbers (HICNs) on all Medicare transactions, such as billing, claim submissions and appeals.
What letters are not in a Medicare number?
We use numbers 1-9 and all letters from A to Z, except for S, L, O, I, B, and Z. If you use lowercase letters, our system will convert them to uppercase letters.
How do I write my Medicare number?
Your 10 digit Medicare Card Number. Your single digit Medicare Reference Number....In this example below the correct details are as follows:The Card Number is 1234567890 for the entire family.John Smith's Individual Reference Number (IRN) is 1.Helen Smith's IRN is 2.James Smith's IRN is 3.Jessica Smith's IRN is 4.
How many digits is Medicare number?
11 charactersThe MBI has 11 characters, like the Health Insurance Claim Number (HICN), which can have up to 11. Will the MBI's characters have any meaning? Each MBI is randomly generated.
What do Medicare ID numbers look like?
MBI will contain Numbers and letters (Uppercase), that will use 0 to 9 numbers and all letters from A to Z, they have excluded S,L,O,I,B and Z so that will help all characters to easier to read. The MBI's 2nd, 5th, 8th, and 9th characters will always be a letter. Characters 1, 4, 7, 10, and 11 will always be a number.
How do you read a Medicare number?
While your Individual Reference Number is the number to the left of your name on your card, your Medicare Card Number is the 10 digit number that appears above your name, across the top section of the card. When providing your number, you must include the last digit.
When did MBI numbers start?
April 2018Beginning in April 2018, the Centers for Medicare and Medicaid Services (CMS) began issuing new Medicare identification (ID) cards.
What does "invalid MBI" mean?
When checking eligibility using the myCGS portal or the Interactive Voice Response (IVR) and you receive error message "Invalid MBI", your patient's MBI may have changed.
What is an IVR?
The Interactive Voice Response (IVR) system requires you enter your patient's name and Medicare number during the beneficiary validation process. Use this tool to convert the patient's MBI to the corresponding numbers on your telephone key pad.
What is a span date?
Dates of service before the MBI change date – use the old or new MBI. Span-date claims with a "From Date" before the MBI change date – use the old or new MBI. Dates of service that are entirely on or after the effective date of the MBI change – use the new MBI.
When to use MBI for claim status?
Claim status query – You should use the MBI if available, but are allowed to use the HICN to check the status of a claim (276 transactions, or within the IVR or portal) if the earliest FROM date of service on the claim is before January 1, 2020.
When is MBI required for Medicare?
Effective January 1, 2020 : The MBI is required for all transactions submitted to Medicare including (not all inclusive) Claim Submission: electronic and paper claim submissions for all dates of service. Claims received with HICNs will be rejected, even for dates of service prior to January 1, 2020.
Can a beneficiary change their MBI?
The MBI may be changed due to a beneficiary or authorized representativ e request, or CMS may initiate the change. Refer to " What to Do If the MBI Changes .". Using the old or new MBIs in relation to claim submissions: Dates of service before the MBI change date – use the old or new MBI.
When can you use MBI in CGS?
CGS encourages suppliers to use the MBI for all workloads. However, there are a few exceptions when you can use either the HICN after January 1, 2020, if you are unable to obtain the MBI:
What is a COBA in Medicare?
Medicare' s Coordination of Benefits Agreement (COBA) trading partners (supplemental insurers, Medigap plans, Medicaid, etc.) must submit the MBI to get Medicare crossover claims. Exceptions on use of HICN on outbound Medicare crossover claims will apply.
When to ask Medicare patients for their cards?
Ask your Medicare patients for their Medicare cards when they come for care. If they don’t bring it with them when they come for care, give them the Get Your New Medicare Card flyer in
Can you look up MBIs for Medicare?
You can look up MBIs for your Medicare patients when they don’t or can’t give them. Sign up for the Portal to use the tool. Even if your patients are in a Medicare Advantage Plan, you can look up their MBIs to bill for things like indirect medical education.
What does IVR return?
The IVR will return the procedure code billed, the date of service billed, the number of services, the NPI of the billing supplier, and state if the service was not approved for payment. You may also opt to check claims for diabetic shoe inserts.
How to check Medicare claim status?
To receive claim status, you must enter your NPI, PTAN, last five digits of TIN, the beneficiary's Medicare number and name, and the date of service. (See instructions above on entering this information.) After getting the status of a claim, you may choose from the following:
How to verify Medicare eligibility?
To verify Medicare eligibility for a beneficiary, you must provide your NPI, PTAN, last five digits of tax identification number (TIN), the beneficiary's Medicare number, date of birth, and the beneficiary's name. This option will provide the Medicare Part A and B entitlement date and term date, the most recent reason for entitlement, the current and previous year deductible remaining, Medicare Advantage Plan information, home health episode information, and Medicare secondary payer information.
How to check oxygen CMN?
For oxygen CMN status, press 3. You must provide your NPI, PTAN, last five digits of TIN, the beneficiary's Medicare number, and the beneficiary's name and date of birth. This option will provide the most current oxygen CMN information on file by modality (stationary or portable). The IVR will provide the initial, recert, or revision date; the length of need; the previous supplier's phone number; the last paid date with modifier; and the total number of paid claims per modality. If there is more than one same or similar CMN on file for the modality chosen, the IVR will prompt you to listen to all related CMNs.
How to receive SNF/Inpatient hospital information for the same beneficiary?
Press 1 to receive SNF/Inpatient hospital information for the same beneficiary. If a facility claim is on file for the date of service entered, the IVR will provide the NPI of the facility and the website address for NPPES, if the beneficiary was still inpatient, the admission date, and the type and date of discharge, if the beneficiary was discharged.
What is press 2 hospice?
Press 2 to receive hospice information for the same beneficiary. The IVR will provide the start and end date of the most current Hospice episode on file.
How to enter PTAN number?
To enter a Provider Transaction Access Number (PTAN), formerly known as your supplier number: Enter the 10-digit number followed by the # key. The IVR will repeat the number entered. Press 1 if the number entered is correct. If you would like to reenter the number, press 2.
What is the IVR for Medicare?
The Centers for Medicare & Medicaid Services (CMS) requires providers to utilize the Interactive Voice Response (IVR) System to check the status of claims. The IVR is available during and outside normal customer service hours with allowances for system maintenance and mainframe availability. Your NPI and PTAN are needed to obtain information from the IVR or a Customer Service Representative. You can also order duplicate remittance notices, as well as obtain the Medicare Part B deductible status, eligibility, Medicare Secondary Payer information, allowable for procedure codes, denial reasons, outstanding check amounts, NPI and PTAN validation and other claim processing information.
What is the press button for NPI and PTAN crosswalk validation?
Press "5" for NPI and PTAN crosswalk validation & to verify NPI in PECOS
How long is the IVR available?
The IVR is available 24 hours a day, 7 days a week, except for routine system maintenance. However, the most common IVR inquiries also require the IVR to access our online system. The times below represent our online system availability, which means that all IVR options are routinely available during these times:
How to check if there are no more checks in my NPI?
Press "1" for outstanding checks released to your NPI within the last month. After receiving information on the first outstanding check, press "1" for the next outstanding check. Press "1" to repeat all check information until you receive the message there are no more outstanding checks.
What is the press button for outstanding checks?
Press "1" for outstanding checks released to your NPI within the last month.
What is an IVR?
General Information. The IVR offers a host of self-service options, including claim status, patient eligibility, check status, and more. Remember, CMS requires providers to use the IVR for these simple inquiries. The IVR is available 24 hours a day, 7 days a week, except for routine system maintenance.
What does "1" mean in a procedure code?
Press "1" if there is a modifier at the end of the procedure code.
How to help IVR with difficulty with information as spoken?
If IVR is having difficulty with information as spoken, try keying information with telephone keypad
What does "0" mean on Noridian?
During Noridian business hours, callers may say "operator," or press "0" (zero) to be transferred to a Customer Service Representative when the IVR is unable to complete the desired inquiry and/or there are still questions about the information it did provide. See the "Contacts" webpage for Supplier Contact Center hours of operation.
How to enter numeric value on a telephone?
The three-key combination works as follows. Select * (star) button. Select button on telephone keypad which contains letter.
Where do all calls begin?
All calls begin at the Main Menu where a caller is immediately able to choose the desired customer service area, from below table, in which to direct his/her inquiry to. NOTE: The touch tone options are not provided during this initial prompt, so it is best to have this information ready when calling.
