Medicare Blog

what is hicn in regards to claims for medicare

by Evie Collins MD Published 2 years ago Updated 1 year ago
image

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 does hicn stand for?

Health Insurance Claim Number (HICN) Law and Legal Definition. Health insurance claim number (HICN) refers to the number assigned by the Social Security Administration to an individual for the purpose of identifying him/her as a medicare beneficiary. HICN will be shown in the beneficiary's insurance card and it is on the basis of this number that a beneficiary’s medicare claims are processed.

What does hicn stand for in healthcare?

The MBIs are:

  • Clearly different than the HICN and RRB number.
  • 11-characters in length.
  • Made up only of numbers and uppercase letters (no special characters); if you use lowercase letters, our system will convert them to uppercase letters.

What does hicn number mean?

  • A-000000
  • A-000-00-0000
  • CA-000000
  • CA-000-00-0000
  • JA-000000
  • JA-000-00-0000
  • H-000000
  • H-000-00-0000
  • MA-000000
  • MA-000-00-0000

More items...

Which Medicare is right for me?

ith the beginning of the Medicare enrollment season, choosing the right plan is sometimes a confusing decision, so it is necessary to take your time. That is why many U.S. workers plan to spend more time reviewing their healthcare options.

image

What is Hicn or MBI?

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 does a Medicare Hicn look like?

Health Insurance Claims Numbers (HICNs) 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.

How long is a Hicn number?

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

What does HIC mean on an EOB?

This field indicates the Health Insurance Claim (HIC) number of the patient that received the services.

When did Hicn change to MBI?

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) required CMS to remove Social Security numbers (SSN) from all Medicare cards by April 2019. CMS replaced the HICN with a new, randomly generated MBI.

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).

Is BNC same as claim number?

Is BNC the Same as a Claim Number? A BNC is not the same as a claim number. Social Security uses your Social Security number for benefit claims. This number consists of nine digits and an alphanumeric suffix that identifies the type of beneficiary and their qualification category.

Is Medicare claim number the same as Medicare number?

On the front of your Medicare card is a number that is 11 characters long, consisting of numbers and uppercase letters. This is your Medicare claim number, also referred to as a Medicare Beneficiary Identifier (MBI). To avoid confusion between letters and numbers, Medicare does not use the letters S, L, O, I, B or Z.

What is a Medicare HIC MBI number?

We removed Social Security Number (SSN)-based Health Insurance Claim Numbers (HICNs) from Medicare cards and are now using Medicare Beneficiary Identifiers (MBIs) for Medicare transactions like billing, eligibility status, and claim status.

What are three figures that are commonly depicted on an EOB?

the payee, the payer and the patient. the service performed—the date of the service, the description and/or insurer's code for the service, the name of the person or place that provided the service, and the name of the patient.

What is ASG in Medi-Cal billing?

“ASG” shows a Y or N, indicating whether or not the provider accepted the assignment of the claim, which includes allowed amounts and acceptance of their decisions and any payments.

Does Medi-Cal pick up Medicare deductible?

As with current crossover claims, Medi-Cal pays coinsurance and/or deductibles for both Medicare Part A and Part B services.

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 a HICN number?

Health insurance claim number (HICN) refers to the number assigned by the Social Security Administration to an individual for the purpose of identifying him/her as a medicare beneficiary. HICN will be shown in the beneficiary's insurance card and it is on the basis of this number that a beneficiary’s medicare claims are processed.

What is a HICN?

HICN is comprised of two parts namely claim account number (CAN) and beneficiary identification code number (BIC). CAN is the policy number of the wage owner who earns medicare benefits and BIC identifies the current relationship between wage earner and beneficiary.

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.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9