Medicare Blog

what does br stand for after medicare number

by Dr. Russell Hane V Published 2 years ago Updated 1 year ago
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What does the Medicare suffix “B” mean?

Other Medicare suffixes in the “B” category include: B1 for the husband (62 years or older) of a primary claimant If your suffix code is one of the above or any other code in the “B” category, your spouse’s or ex-spouse’s Social Security Number, and not your own, represents the first nine numbers of your Medicare Claim Number.

What do the letters after a social security or Medicare number mean?

What do the letters after a Social Security or Medicare number mean? The Social Security number followed by one of these codes is often referred to as a claim number. We assign these codes once you apply for benefits.

What does “a” at the end of my Medicare number mean?

“A” at the end of your Medicare number indicates you are a retired wage earner and primary claimant. The numerical part of your Medicare number matches your Social Security Number.

What do the primary letter codes in Medicare claim numbers mean?

Following are descriptions of what the primary letter codes in all Medicare Claim Numbers indicate. “A” at the end of your Medicare number indicates you are a retired wage earner and primary claimant. The numerical part of your Medicare number matches your Social Security Number.

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What do the letters at the end of a Medicare number mean?

Medicare Number Suffixes. After the numerical sequence, there will be a letter or a letter followed by another number. These codes indicate Medicare eligibility. For example, assume you are the wife (62 years or older) of the primary claimant, and your husband's SSN is 555-55-5555.

What does B mean on Medicare card?

Medicare Part B helps cover medically-necessary services like doctors' services and tests, outpatient care, home health services, durable medical equipment, and other medical services. Part B also covers some preventive services. Look at your Medicare card to find out if you have Part B.

Do the new Medicare numbers mean anything?

Will the MBI's characters have any meaning? Each MBI is randomly generated. This makes MBIs different than HICNs, which are based on the Social Security Numbers (SSNs) of people with Medicare. The MBI's characters are “non-intelligent” so they don't have any hidden or special meaning.

What is the new Medicare number format?

A Medicare MBI number contains 11 characters, which are randomly generated without underlying meaning. The MBI number is a string of numbers and upper-case letters, which will include an arbitrary combination of digits (1 through 9) and any letters in the alphabet except B, I, L, O, S, and Z.

What is the difference between Medicare A and B?

Medicare Part A and Medicare Part B are two aspects of healthcare coverage the Centers for Medicare & Medicaid Services provide. Part A is hospital coverage, while Part B is more for doctor's visits and other aspects of outpatient medical care.

What is Medicare Part A and B mean?

Part A provides inpatient/hospital coverage. Part B provides outpatient/medical coverage. Part C offers an alternate way to receive your Medicare benefits (see below for more information). Part D provides prescription drug coverage.

How do I read my Medicare number?

The IRN appears to the left of the patient's name on their Medicare card. This is not a unique identifier. 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.

What is the Medicare number most often called?

The Medicare number, called the Medicare health insurance claim number (HICN), is assigned by CMS and usually consists of the Social Security number followed by a numeric or alphanumeric ending.

Did my Medicare number change?

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.

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.

When did Medicare ID numbers change?

New Medicare ID System Goes Fully Operational on January 1, 2020.

What does "A" mean in Medicare?

“A” means you are a retired wage earner and the primary claimant. Typically, you paid into the Medicare system during your working years over a period of at least 40 quarters.

What is the suffix C in Medicare?

“C” indicates you are the child of a primary claimant. Numerical suffixes following “C” indicate which child you are in relation to the primary claimant. If you are the first child, your suffix is C1; if you are the second child, your suffix is C2; if you are the third child, your suffix is C3; and so on. In all, numerical suffixes following C go all the way to number 9, depending on the order of birth of siblings. If your suffix code is anything in the “C” category, your primary claimant parent’s Social Security Number, and not your own, will constitute the first nine numbers of your Medicare Claim Number.

What does E mean in Social Security?

“E” alone indicates you are the widowed mother of a primary claimant. Other suffixes in the “E” category include E1 for the surviving divorced mother of a primary claimant; E2 for the second widowed mother of a primary claimant; E3 for the second divorced mother of the primary claimant; E4 for the primary claimant’s widowed father; and E5 for the primary claimant’s surviving divorced father. “E” may be a particularly complicated category given these convoluted variations. In all cases, the primary claimant’s Social Security Number will constitute the first nine digits of a Code “E” claimant’s Medicare number.

What is the suffix for a parent?

“F” is the parent category, with suffixes for a primary claimant’s father (F1), mother (F2), stepfather (F3), stepmother (F4), adoptive father (F5), and adoptive mother (F6). There is no “F” suffix without a number following it. The primary claimant child’s Social Security Number will constitute the first nine digits of a Code “F” claimant’s Medicare number.

What does the A on Medicare number mean?

“A” at the end of your Medicare number indicates you are a retired wage earner and primary claimant. The numerical part of your Medicare number matches your Social Security Number.

What does the suffix A mean on Medicare?

Besides the letter A, which indicates you are a primary claimant who has paid into the Medicare system as a wage earner, there are 33 other common codes that appear at the end of Medicare Claim Numbers to identify the nature of eligibility.

What is the HA code on my Medicare card?

If your Medicare number includes the HA code, your Social Security appears in your Medicare number. If your Medicare number includes the HB or HC code, your disabled spouse’s or parent’s Social Security number represents the first nine digits of your Medicare number.

How many digits should be in a Medicare claim?

The first nine digits of a Medicare Claim Number should match the nine digits of the cardholder’s Social Security Number or, often, the nine digits of the cardholder’s spouse’s, parent’s, or child’s Social Security Number. Whether the nine digits of your Medicare number match your Social Security Number or another person’s Social Security Number ...

What does the suffix "E" mean in a divorce?

“E” by itself indicates you are the widowed mother of a primary claimant. Other suffixes in the “E” category include E1 for the surviving divorced mother of a primary claimant; E2 for the second widowed mother of a primary claimant ; E3 for the second divorced mother of the primary claimant; E4 for the primary claimant’s widowed father; and E5 for the primary claimant’s surviving divorced father.

What does C mean in a claim?

Code C. “C” indicates you are the child of a primary claimant. Numerical suffixes following “C” indicate which child you are in relation to the primary claimant. For example, if you are the first child, your suffix is C1; if you are the second child, your suffix is C2; and so on. If your suffix code is in the “C” category, ...

How to contact Medicare for letter code?

For further information about Medicare letter codes and other Medicare symbols, you can contact the Medicare Administration toll-free at 1-800-MEDICARE (1-800-633-4277). For information about Medicare supplement insurance, Medicare Advantage, and all your best healthcare options, contact MedicareMall today! © 2013 MedicareMall.com.

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A. ‘By Report’ (BR) Reimbursement Value

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When the OMFS Calculatordisplays BR in the OMFScolumn, it means the Procedure Code is reimbursed on a By Report basis. BR Procedure Codesare valid billing codes butdo not have a Base Maximum Fee. Accordingly, the provider may bill any value deemed reasonable for the code. The Physician Fee Schedule regulation sta…
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B. Required ‘By Report’ (BR) Documentation

  • When billing a BR Procedure Code the Physician Fee Schedule regulation requires an accompanying report (report not separately reimbursable) which should include: “the service was reasonable and necessary to cure or relieve from the effects of the industrial injury or illness. Pertinent information should include an adequate definition or description of the nature, extent, …
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C. Unlisted Procedure Codes / Procedures Codes Lacking Rbrvus

  • A Procedure Codeis deemed By Report (BR) for one of four reasons: 1. Unlisted procedure code as listed in the Current Procedural Terminology (CPT) codes. Reimbursement is designated as ‘By Report’. CCR. § 9789.12.4. “By Report” - Reimbursement for Unlisted Procedures/Procedures Lacking RBRVUs. 2. Procedure codes with status indicator codes C, N, I or R that do have RVUs …
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D. Independent Bill Review (IBR) Final Determinations

  • IBR Decisions make excellent Supporting Documentation for Second Reviews for BR Procedure Codes. Below are examples of Independent Billing Review Final Determinations that pertain to BR codes. These Decisions have been ruled on by Maximus and are available publicly on the DWC website. 1. http://www.dir.ca.gov/dwc/IBR/IBR-Decisions/Decisions2015/IBR2015_601-900/CB1…
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