Medicare Blog

medicare hic number changed due to spousal benefit which number to use

by Abbey West Published 3 years ago Updated 2 years ago

What are the changes to the HIC number for Medicare?

Changes Coming to Medicare HIC Numbers – Medicare Beneficiary Identifier. The format of this new identifier will look like this 1EG4-TE5-MK73. The 2nd, 5th, 8th, and 9th character will always be a letter and the 1st, 4th, 7th, 10th, and 11th characters will always be a number. The 3rd and 6th character will be a letter or a number.

Can a husband and wife have the same Hic number?

A husband and wife may have a HIC number that share the same Social Security numerics. However, every individual has their own alpha suffix at the end of the HIC number. In order to ensure proper claim payment, it is essential that the correct alpha suffix is appended to each HIC. No hyphens or dashes should be used.

Can I use my Hic number or MiB for healthcare transactions?

Either the HIC number or the newly issued MIB can be utilized in healthcare transactions throughout this transition period. Beginning in October 2018 through the end of the transition period when a valid and active HIC number is submitted on a Medicare claim both the HIC number and the MBI will be returned on the Medicare remittance advice.

What is the difference between a Medicare HIC and RRB number?

Both CMS and the Railroad Retirement Board (RRB) issue Medicare HIC numbers. The format of a HIC number issued by CMS is a Social Security number followed by an alpha or alphanumeric Beneficiary Identification Code (BIC). RRB numbers issued before 1964 are six-digit numbers preceded by an alpha character.

Is my Medicare number the same as my husbands?

So as long as you are claiming wife's benefits, your husband's number with a B behind it is your Medicare number.

What is my Medicare HIC number?

The HIC is a number identifying each Medicare participant. The number is most often a combination of the beneficiary's nine-digit social security number and two-digit Beneficiary Identity Code, BIC. The BIC identifies the relationship between the beneficiary and the Medicare primary cardholder.

Is HIC same as Medicare number?

A HIC number (HICN) is a Medicare beneficiary's identification number. Also, remember when billing, ALWAYS use the name as it appears on the patient's Medicare card. Both CMS and the Railroad Retirement Board (RRB) issue Medicare HIC numbers.

Why would a Medicare MBI number change?

Because the MBIs are intended to better protect patient identity, Medicare beneficiaries can ask to change their MBI in the event the number has been compromised. CMS also can initiate a change to the MBI.

What is HIC number format?

HICN numbers are made up of a nine-byte social security number plus a one to two character Beneficiary Identification Code.

How many digits are in an HIC?

Health Insurance Claims Numbers (HICNs) The HICN issued by the RRB, may contain either 6 or 9 digit numbers with up to a 3-position letter prefix e.g., A123456 or MA123-45-6789. If a beneficiary's entitlement changes, it is possible for the 9-digit number, the prefix, the suffix or all three to change.

What is a client HIC number?

The Health Insurance Claim Number (HICN) is a Medicare beneficiary's identification number, used for paying claims and for determining eligibility for services across multiple entities (e.g. Social Security Administration (SSA), Railroad Retirement Board (RRB), States, Medicare providers and health plans, etc.)

What is the 11 digit Medicare number?

A complete Medicare number requires 11 digits in total. This includes your 10-digit Medicare number on your card followed by the unique reference number that appears next to your name. Please take extra care when entering you Medicare Number, it is extremely important to ensure it is 100% correct.

Does Medicare card number change?

Your new card will replace your old card. You'll have the same Medicare number that you did before, only the last digit will change.

Why do I have 2 different Medicare numbers?

As a Medicare recipient, you have your own unique Medicare identification number, which is no longer your Social Security number, as it was in the past. This is the number you will use for all Medicare transactions such as checking eligibility and claim status, billing and submitting claims.

How do I update my Medicare number?

The screen layout will look different if you're using a mobile device.Step 1: sign in. Sign in to myGov and select Medicare. ... Step 2: update your details. Go to the details you want to update, then select Edit. ... Step 3: sign out.

Can you have 2 Medicare numbers?

You can only be on 2 Medicare cards at the same time. Once you're 15 years or older you can get your own Medicare card. Read more about getting your Medicare card.

Why did Medicare change the number?

The Centers for Medicare & Medicaid Services (CMS) made the number change to protect people using Medicare from identity theft or illegal use of Medicare benefits. Your new MBI has 11 characters that consist of numbers and capital letters. To avoid confusion, an MBI will not contain the letters S, L, O, I, B, or Z.

When will Medicare transition to new Medicare numbers?

This new number replaces the old Health Insurance Claims Number which will be totally phased out when the end of the transition period arrives on December 31, 2019.

When will Medicare remove Social Security numbers?

With a set deadline of April 2019 , the Centers for Medicare & Medicaid Services (CMS) were lawfully required to remove Social Security numbers from Medicare cards. CMS began mailing new Medicare cards with the new Medicare identification number to all Medicare recipients in April of 2018, giving themselves a year to reach all recipients.

When can I use my new MBI?

Although there are a few exceptions, you must use your new MBI to submit claims beginning on January 1, 2020. If you have Medicare Advantage or a Medicare Part D prescription drug policy, you can use your old cards for those policies as you did previously.

Do you have to show your Medicare card to your doctor?

It is important to keep your card safe and with you whenever you are away from home. In order to ensure that you get your Medicare benefits, you must show your card to your doctor, pharmacist, insurers, or other healthcare providers whenever you receive medical care. Do not give your Medicare identification number to anyone other ...

Can you give your Medicare number to someone else?

Do not give your Medicare identification number to anyone other than those involved with your healthcare. Neither Medicare, nor the Social Security Administration will call you and ask you for your personal information. Do not fall prey to scammers making phone calls looking for information or asking for money.

What is a HIC number?

A HIC number (HICN) is a Medicare beneficiary’s identification number. Also, remember when billing, ALWAYS use the name as it appears on the patient's Medicare card. Both CMS and the Railroad Retirement Board (RRB) issue Medicare HIC numbers.

What is the format of a HIC number?

The format of a HIC number issued by CMS is a Social Security number followed by an alpha or alphanumeric Beneficiary Identification Code (BIC). RRB numbers issued before 1964 are six-digit numbers preceded by an alpha character.

When did Medicare use Social Security numbers?

After 1964 , the RRB began using Social Security numbers as Medicare beneficiary identification numbers preceded by an alpha character. Below are the characteristics for each HIC type. “A” beneficiary (retired worker or disabled worker) “C” children (child or grandchild of a retiree)

What is Medicare HIC number?

Beginning in 2018 the Medicare HIC number will be replaced with a new identifier called a Medicare Beneficiary Identifier (MBI). The MBI numbers will be eleven bytes in length, randomly generated, and will derive no components from a beneficiary’s identification.

When will CMS phase in HIC?

CMS has planned a generous phase-in period of 21 months to begin in April of 2018 and ending with a completed transition in December of 2019. Either the HIC number or the newly issued MIB can be utilized in healthcare transactions throughout this transition period.

What is the 3rd and 6th character in Medicare?

The 3rd and 6th character will be a letter or a number. January 2018 – CMS will generate 150 million MBI, 60 million for active beneficiaries and 90 million deceased or archived beneficiaries. April 2018 to July 2019 – New and active enrollees will receive a new Medicare card with an MBI rather than a HIC number.

What is a HIC number?

HICN numbers are made up of a nine-byte social security number plus a one to two character Beneficiary Identification Code.

When will Medicare card be available with MBI?

April 2018 to July 2019 – New and active enrollees will receive a new Medicare card with an MBI rather than a HIC number. April 2018 to December 2019 – Providers may submit claims with either the patient’s HIC number or the patients MBI.

Who was the first person to get a health insurance claim number?

Former President Harry S. Truman was the very first Medicare beneficiary to be issued a Health Insurance Claim Number (HICN) when then President Lyndon B Johnson signed the Medicare program into law on July 30, 1965. Ever since then, Medicare beneficiaries upon entitlement, have been issued a Health Insurance Claim Number (HICN).

What is a HICN number?

Health Insurance Claim Number (HICN)—This is the number used by Social Security and Medicare to identify a beneficiary. Social Security is responsible for all eligibility assignment and enrollment into Medicare while Medicare is responsible for oversight and fulfillment of the health benefits. The HICN may look similar to a beneficiary’s social ...

How many letters are there on a Medicare card?

There are more than 30 different letters that could be used for various reasons. A new recipient may have a “T” until his benefit is activated at the initial enrollment. When completing an enrollment form, always list the number as it is shown on the Medicare ID card even if you know the number will be changing.

What is the suffix for child benefits?

For a spouse, it will have a suffix letter “B” and for a child it will have a suffix letter of “C”. Both spousal and child benefits could be provided to more than one recipient so in that case the suffix letter will be followed by a number such as: (B2) or (C3).

What is the correct HIC number?

HIC Format – A correct HIC number consists of 9 numbers immediately followed by an alpha suffix. Take special care when entering the HIC number for members of the same family who are Medicare beneficiaries. A husband and wife may have a HIC number that share the same Social Security numerics.

What is a 9 digit HICN?

All HICNs issued by SSA are 9-digit numbers with at least one letter suffix (called a beneficiary identification code or BIC) in the tenth position. If there is an eleventh position, it may be either a letter or number e.g. 123-45-6789A or 987-65-4321D4. The HICN issued by the RRB, may contain either 6 or 9 digit numbers with up to a 3-position letter prefix e.g., A123456 or MA123-45-6789. If a beneficiary’s entitlement changes, it is possible for the 9-digit number, the prefix, the suffix or all three to change. It is also possible to go from an SSA issued HICN to a RRB HICN or vise versa. The numeric portion of a 9-digit HICN consists of a Social Security Number (SSN). If the BIC is A, T, TA, M, M1, J1, J2, J3, J4 or the RRB prefix is A or H the number is the beneficiary’s own SSN. If the BIC or RRB prefix is other than one of the above, the SSN belongs to a number holder and the beneficiary is entitled as an auxiliary or survivor on that SSN.

Do husband and wife have the same Social Security number?

A husband and wife may have a HIC number that share the same Social Security numerics. However, every individual has their own alpha suffix at the end of the HIC number. In order to ensure proper claim payment, it is essential that the correct alpha suffix is appended to each HIC. No hyphens or dashes should be used.

How to change Medicare number?

If a beneficiary suspects his or her MBI is compromised, the beneficiary can request to change his or her Medicare Number by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.

What is the new Medicare card number?

The Centers for Medicare & Medicaid Services (CMS) developed a new number called the Medicare Beneficiary Identifier (MBI), which replaces the SSN-based Health Insurance Claim Number (HICN) on the Medicare card. CMS began mailing the new Medicare cards in April 2018.

Does CMS issue MBI?

CMS issues all MBIs. The Social Security Administration (SSA) and CM S will continue to transmit data electronically using the HICN. When communicating with beneficiaries, use the term “Medicare Number”. Avoid using the terms “HICN” and “MBI”. are not related to anyone else, like a spouse or number holder from which the beneficiary gets Social ...

Can Medicare numbers change?

C. Changing the new MBI. A beneficiary’s Medicare Number stays the same even if Medicare entitlement, benefits, or Medicare Advantage or Part D enrollment changes. However, CMS will permit Medicare Number changes upon request.

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