Medicare Blog

what is beneficiary code for medicare

by Therese Leffler Published 2 years ago Updated 1 year ago
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What are Beneficiary Identification Codes (BIC)? BICs indicate the type of benefits a Social Security claimant receives and are used as Medicare claim numbers. These codes are not assigned to a claim number until the claimant applies for Social Security benefits.

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.

Full Answer

What is a Medicare beneficiary?

A Medicare beneficiary is someone aged 65 years or older who is entitled to health services under a federal health insurance plan.

How many characters are in a Medicare beneficiary identifier?

Understanding the Medicare Beneficiary Identifier (MBI) Format How many characters will the MBI have? The 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 are beneficiary Identification Codes (BIC)?

What are Beneficiary Identification Codes (BIC)? BIC Source Code Description C1 thru C9 SC Child - (minor child, disabled child or ... CA thru CK SC If age is greater than 18, SSI Status co ... D SW Widow, age 60 or over (1st Claimant) D1 SW Widower, age 60 or over (lst Claimant) 46 more rows ...

What does Medicare Code B mean?

That means you earned Medicare insurance based on your working history and tax credits. If you have a B following your Social Security number, you are registered with Medicare as the spouse of a retired worker who earned Medicare. There are several variations to the B code:

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What is Medicare beneficiary?

A Medicare beneficiary is someone aged 65 years or older who is entitled to health services under a federal health insurance plan. Although Medicare beneficiaries are typically seniors, those who are younger than 65 years of age can still qualify for Medicare benefits if they meet certain qualifications, such as being a recipient ...

What are the benefits of Medicare?

There are four kinds of Medicare coverage that a Medicare beneficiary can avail themselves of: 1 Medicare A: U.S. citizens are automatically eligible for this coverage when they turn 65. There is no premium for this plan and it covers most of the cost of hospitalization. 2 Medicare B: To qualify for this plan, the beneficiary must pay a premium. It will pay for outpatient treatment, doctor's services, and prescribed drugs. 3 Medicare C: Medicare C plans are offered through private insurance companies that are approved by the Medicare program. Some Medicare C plans provide vision and dental care. 4 Medicare D: Like Medicare C, this plan is offered through approved private insurance companies. It provides coverage for prescriptive drugs.

Does Medicare B cover outpatient care?

There is no premium for this plan and it covers most of the cost of hospitalization. Medicare B: To qualify for this plan, the beneficiary must pay a premium. It will pay for outpatient treatment, doctor's services, and prescribed drugs.

Is EGHP secondary to Medicare?

To navigate directly to a particular type of code, click on the type of code from the following list: Beneficiary's and/or spouse's EGHP is secondary to Medicare. Beneficiary and/or spouse are employed and there is an EGHP that covers beneficiary but either:

Is EGHP a Medicare plan?

Beneficiary's and/or spouse's EGHP is secondary to Medicare. Beneficiary and/or spouse are employed and there is an EGHP that covers beneficiary but either: EGHP is a single employer plan and employer has fewer than 20 full- and/or part-time employees.

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