Full Answer
What is the C code for Medicare for children?
Code C – this category applies to child Medicare beneficiaries. Numerical suffixes following “C” indicate the child’s relationship to the primary claimant. The youngest child gets code C1, the next youngest gets C2, and so on through C9 and then from CA to CZ.
What is the difference between M1 and T code for Medicare?
M1 indicates you are enrolled in Part B and are also eligible for coverage under Medicare Part A but have refused Part A coverage. Code T – indicates the retiree is eligible for Medicare Part A benefits but not eligible for retirement benefits.
When to use a condition code for Medicare claims?
Use when canceling a claim to correct the Medicare ID or provider number. Condition code only applicable on a xx8 type of bill. D6: Use when canceling a claim for reasons other than the Medicare ID or provider number. Use when canceling a claim to repay a payment. Condition code only applicable to a xx8 type of bill. D1
When to use condition code D1 on a bill?
Condition code only applicable to a xx8 type of bill. D1: If one of the above condition codes does not apply and there is a change to the COVERED charges this code should be used. Use when adding a modifier to a line that would make the charges covered on the adjustment that were non-covered on the previous claim.
What does C1 mean on Medicare card?
Code C – this category applies to child Medicare beneficiaries. Numerical suffixes following “C” indicate the child's relationship to the primary claimant. The youngest child gets code C1, the next youngest gets C2, and so on through C9 and then from CA to CZ.
What does C2 mean at the end of a Medicare number?
Suffixes following “C” indicate your relationship to the primary claimant. “C1” means you are the first child, “C2” means you are the second child and so forth. Code “D” indicates you were married to or divorced from a deceased primary claimant. D alone means you are the widow, while “D1” indicates you are a widower.
What do the Medicare suffix letters mean?
F1 = aged dependent father. F2 = aged dependent mother. *HA = disabled worker. HB = wife of disabled worker. HC = child of disabled worker.
How do I find my Medicare HIC 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. The format of a HIC number issued by CMS is a Social Security number followed by an alpha or alphanumeric Beneficiary Identification Code (BIC).
What does D after a Social Security number mean?
disabled childChild – Includes minor, student or disabled child. D. Aged Widow, age 60 or over.
What are the letters after the Medicare number?
“A” identifies the primary claimant (wage earner) who has qualified for the benefits. “B” identifies a wife, age 62 or over, whose benefits are related to her husband's record. Adding a 1 (B1) identifies a husband receiving benefits based on the wife's record. “D” is a widow and "D1" is a widower, aged 60 or over.
What does letter B after Social Security number mean?
Aged wife, age 62 or overB. Aged wife, age 62 or over. B1. Aged husband, age 62 or over.
What does a Medicare HIC number look like?
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.
What does a HIC number look like?
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.
How many digits are in an HIC?
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.
What does my Medicare number mean?
Your card has a Medicare Number that's unique to you — it's not your Social Security Number. This helps protect your identity. The card shows: You have Medicare Part A (listed as HOSPITAL), Part B (listed as MEDICAL), or both. The date your coverage begins.
How are Medicare numbers assigned?
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 kinds of characters will used in the MBI?
What does the B mean after the Medicare number?
Code B. “B” by itself means you are the wife of the primary claimant, and are at least 62 years old. Other Medicare suffixes in the “B” category include: B1 for the husband (62 years or older) of a primary claimant.
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.
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 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.
