Medicare Blog

what is hicn number medicare

by Dr. Royal Schoen Published 3 years ago Updated 2 years ago
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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.

How do you verify a Medicare number?

Medicare Beneficiary Identifier (MBI) Lookup through Novitasphere. Effective January 1, 2020, all claims and eligibility inquiries submitted to Medicare must use the new Medicare Beneficiary Identifier (MBI). If your patients are unable to provide you with their updated card, the MBI Lookup tool is available in Novitasphere, our free, secure internet portal!

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...

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How do I find my Hicn number?

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. HICN is comprised of two parts namely claim account number (CAN) and beneficiary identification code number (BIC).

How many digits is a Hicn?

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 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.

Is Hicn same as MBI?

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. This makes MBIs different than HICNs, which are based on the Social Security Numbers (SSNs) of people with Medicare.

When did MBI replace Hicn?

Beginning in April 2018, newly eligible Medicare beneficiaries will only be provided the MBI and not a HICN. After the transition period, January 1, 2020, affected systems interacting with stakeholders shall use the MBI.

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.

Is my Medicare number the same as my Social Security number?

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.

Is the BNC number the same as the Medicare number?

The BNC is an encrypted 13-character alphanumeric code that is used to identify documents from the Social Security Administration. The BNC is used instead of Social Security numbers or Medicare numbers as a security measure to prevent identity theft.

When did MBI go into effect?

Jan. 1, 2020Effective Jan. 1, 2020, all providers are required to use MBI to identify beneficiaries in provider transactions.

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).

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 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 ...

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 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 HIC card?

Medicare beneficiaries used to receive a plastic Medicare card with a Health Insurance Claims, HIC, number. The HIC number identifies the Medicare beneficiary in the Medicare system, allowing for the smooth processing of claims and ensuring benefits are routed to the correct places. A HIC is sometimes called a HICAN or HICBIC.

What is a HIC?

A HIC is sometimes called a HICAN or HICBIC. It has recently been replaced with a randomly generated Medicare Beneficiary Identifier, or MBI, which serve s the same purpose. Advertisement.

What is Medicare insurance?

Definition of Medicare. Medicare is a health insurance program that is a combination of public funds and private health care providers. Medicare is administered by the Centers for Medicare and Medicaid Services, part of the Department of Health and Human Services. There are two parts to the Medicare Program: Part A, hospital insurance, and Part B, ...

Is Medicare removing Social Security numbers?

The Move to MBIs. To fight medical identity theft, Medicare is removing social security numbers from all Medicare cards. As a result, the HIC is being phased out and replaced with a new Medicare Beneficiary Identifier on cards for the purpose of eligibility, claims and billing.

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.

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.

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.

What is an MBI in Medicare?

The United States Railroad Retirement Board (RRB) Health care providers. Health plans. Every person with Medicare has been assigned an MBI. The MBI is confidential like the SSN and should be protected as Personally Identifiable Information. You MUST submit claims using MBIs, no matter what date you performed the service, with a few exceptions.

What letters does MBI not use?

The MBI doesn’t use the letters S, L, O, I, B, and Z to avoid confusion between some letters and numbers (e.g., between “0” and “O”). Learn about and use our MBI format specifications (PDF) to make changes to your systems.

Can you use HICN for Medicare?

Medicare plan exceptions: Appeals - People filing appeals can use either the HICN or the MBI for their appeals and related forms. Adjustments - You can use the HICN indefinitely for some systems (Drug Data Processing, Risk Adjustment Processing, and Encounter Data) and for all records, not just adjustments. Reports - We’re using the HICN on these ...

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