Medicare Blog

what is medicare hicn

by Carmine Hyatt Published 2 years ago Updated 1 year 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 in healthcare?

Sep 01, 2015 · 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 security …

What does Hic stand for in Medicare?

Sep 23, 2014 · 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. The format of a HIC number issued by CMS is a Social Security number followed by an alpha or alphanumeric …

What does hicn stand for?

Medicare Beneficiary Identifiers (MBIs) 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. We worked closely with our business partners:

What is a HIC number for Medicare?

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.

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How do I find my Hicn?

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.

Is Hicn the same as SSN?

In order to comply, CMS is currently in the process of implementing a new Medicare Beneficiary Identifier (MBI) system for all beneficiaries, which will replace the SSN-based Health Insurance Claim Number (HICN) present on all Medicare cards.May 11, 2018

What is Hicn or MBI?

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.Dec 1, 2021

What does a Medicare Hicn look like?

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.Sep 23, 2014

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.Jan 20, 2022

What is a BNC number for Medicare?

On Social Security COLA notice, we began displaying a Beneficiary Notice Code (BNC). The BNC is an encrypted 13-character alphanumeric code that helps our employees identify the notice and the beneficiary, and further eliminates the need to include the SSN.May 23, 2017

When did MBI replace Hicn?

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) required CMS to remove SSNs from all Medicare cards. CMS replaced the SSN-based HICN with a new, randomly generated MBI. The MBI hyphens on the card are for illustration purposes: don't include the hyphens or spaces on transactions.Mar 19, 2020

When did Medicare stop using Social Security numbers?

April 2019You're getting a new Medicare card! Between April 2018 and April 2019, we'll be removing Social Security numbers from Medicare cards and mailing each person a new card. This will help keep your information more secure and help protect your identity.

What is the new Medicare number format?

We use numbers 1-9 and all letters from A to Z, except for S, L, O, I, B, and Z. If you use lowercase letters, our system will convert them to uppercase letters.

How long is a Hicn?

HICN numbers are made up of a nine-byte social security number plus a one to two character Beneficiary Identification Code.Jun 26, 2017

Are there new Medicare cards being issued?

CMS will being mailing new Medicare cards to beneficiaries in April 2018. The cards will be mailed in seven waves by groups of states over the next year. All beneficiaries should receive a new card by April 2019. The mailing schedule and status of card mailings will be available on Medicare.gov.

Which of the following is excluded under Medicare?

Non-medical services, including a private hospital room, hospital television and telephone, canceled or missed appointments, and copies of x-rays. Most non-emergency transportation, including ambulette services. Certain preventive services, including routine foot care.

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 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.

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 ...

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 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.

Where is the RRB logo on Medicare card?

The RRB logo will be in the upper left corner and “Railroad Retirement Board” at the bottom, but you can’t tell from looking at the MBI if your patient is eligible for Medicare because they’re a railroad retiree.

When will Medicare be rejected?

Starting on Jan . 1, 2020, regardless of the date of service, Medicare transactions will be rejected if the MBI is not used.

When will LTCHs accept HICN?

Beginning January 1, 2020 , only the MBI will be accepted. LTCHs who currently use the LASER tool to create assessments for submission to CMS will not be notified via an error message in the software if a HICN or RRB is entered in A0600B after January 1.

When does the transition period end for Medicare?

The transition period that allows for submission of the HICN/RRB or Medicare Beneficiary Identifier (MBI) in item A0600B ends on December 31, 2019.

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