
Things to note
- The Medicare Beneficiary Identifier (MBI), often known as your Medicare number, comprises eleven random letters and digits. ...
- It’s also on any documents you get from the Social Security Administration. ...
- Previously, a person’s Medicare number was made up of their Social Security number plus a distinguishing letter at the end. ...
What is my beneficiary ID code?
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.
What if beneficiary is Medicaid recipient?
Understanding the Medicare Beneficiary Identifier (MBI) Format How many characters does the MBI have? The MBI has 11 characters. Does the MBI’s characters have any meaning? Each MBI is randomly generated. The MBI’s characters are “non-intelligent” so they don’t have any hidden or special meaning. What kinds of characters are in the MBI?
What is the Qualified Medicare Beneficiary (QMB) program?
Your Medicare Beneficiary Identifier (MBI) number is for billing and identification purposes. On a Medicare card received before 2015, your Medicare Claim Number consisted of your Social Security number followed by a code of letters and sometimes numbers that …
What is the payer secondary identifier mean?
Mar 19, 2020 · New Medicare Beneficiary Identifier (MBI) Get It, Use It . MLN Matters Number: SE18006 Revised . Article Release Date: March 19, 2020 . Related CR Transmittal Number: N/A . Related Change Request (CR) Number: N/A . Effective Date: N/A . Implementation Date: N/A . Note: We revised the articleon March 19, 2020, to clarify that you need the beneficiary’s

Where do I find my Medicare beneficiary identifier?
You can identify them by the RRB logo on their card, and we return a “Railroad Retirement Medicare Beneficiary” message on the Fee-For-Service (FFS) MBI eligibility transaction response. The beneficiary or their authorized representative can request an MBI change. CMS can also change an MBI.Mar 19, 2020
Is the Medicare number the same as the Medicare beneficiary identifier?
The Centers for Medicare & Medicaid Services (CMS) developed a new number called the Medicare Beneficiary Identifier (MBI), which replaces the SSN-based Health Insurance Claim Number (HICN) on the Medicare card.Jul 28, 2021
What is Medicare beneficiary information?
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.Dec 1, 2021
How many characters make up a Medicare beneficiary identifier?
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.
How many digits is Medicare number?
11-digitSocial security numbers on cards, which are part of the 10 digit Health Insurance Claim Number (HICN), have been replaced with an 11-digit Medicare Beneficiary Identifier (MBI) number.
How do you read a Medicare number?
It's the number next to your name on your Medicare card. This is not a unique identifier. While your Individual Reference Number is the number to the left of your name on your card, your Medicare Card Number is the 10 digit number that appears above your name, across the top section of the card.
What is the meaning of beneficiary details?
Definition: In life insurance, the beneficiary is the person or entity entitled to receive the claim amount and other benefits upon the death of the benefactor or on the maturity of the policy. Description: Generally, a beneficiary is a person who receives benefit from a particular entity (say trust) or a person.
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
Who are beneficiaries?
A beneficiary is any person who gains an advantage and/or profits from something. In the financial world, a beneficiary typically refers to someone eligible to receive distributions from a trust, will, or life insurance policy.
What is Medicare subscriber ID?
Answer. An insurance subscriber ID is not a Medicare Claim Number or a Medicare Beneficiary Identification Number. This field is programmed to only accept Medicare Claim Numbers and Medicare Beneficiary Identification Numbers. Graphics. Resources.
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.
How do I find my Medicare HIC number?
The HIC is a number identifying each Medicare participant. The number is most often a combination of the beneficiary's nine-digit social security number and two-digit Beneficiary Identity Code, BIC. The BIC identifies the relationship between the beneficiary and the Medicare primary cardholder.
What information is on my Medicare card?
There is additional important information located on your Medicare card for you and your doctor. This includes your name and sex. Additionally, it states whether you have Medicare Part A (inpatient hospital) and Medicare Part B (outpatient medical), and lists the dates that Part A and B first started.
What is a B1 on Medicare?
There are several variations to the B code: B1 is for a husband of a primary beneficiary at age 62 or over. B2 is for a young wife with a child in her care,
What happens if you lose your Medicare card?
If you lose your Medicare card with your number on it, you can request that the Social Security Administration replace your card at no charge. The Medicare Beneficiary Identifier is for claims, billing and identification purposes.
What does it mean when you have an A on your Social Security card?
If you have an A on your card, it means that you are the primary beneficiary. That means you earned Medicare insurance based on your working history and tax credits.
What do the codes after my Social Security number mean?
After the Social Security number, there is a letter and sometimes a number. These codes all have different meanings.
How long does it take for Medicare to arrive in the mail?
After your replacement request, the card typically arrives in the mail in about 30 days, at no cost to the beneficiary. Social Security will mail your Medicare card to the address they have on file for you, so it is important to keep your information with them up to date.
What is the difference between E1 and E4?
The letter “E” code is for a widowed mother, while E1 is a surviving divorced mother. E4 is a widowed father, and E5 is a surviving divorced father. The letter “F” codes are for parents. A “T” code is for those who are enrolled in Medicare but are being temporarily delayed their Social Security Benefits or are uninsured.
When to ask Medicare patients for their cards?
Ask your Medicare patients for their Medicare cards when they come for care. If they don’t bring it with them when they come for care, give them the Get Your New Medicare Card flyer in
What is a COBA in Medicare?
Medicare' s Coordination of Benefits Agreement (COBA) trading partners (supplemental insurers, Medigap plans, Medicaid, etc.) must submit the MBI to get Medicare crossover claims. Exceptions on use of HICN on outbound Medicare crossover claims will apply.
Can you look up MBIs for Medicare?
You can look up MBIs for your Medicare patients when they don’t or can’t give them. Sign up for the Portal to use the tool. Even if your patients are in a Medicare Advantage Plan, you can look up their MBIs to bill for things like indirect medical education.
When is MBI required for Medicare?
Effective January 1, 2020 : The MBI is required for all transactions submitted to Medicare including (not all inclusive) Claim Submission: electronic and paper claim submissions for all dates of service. Claims received with HICNs will be rejected, even for dates of service prior to January 1, 2020.
When to use MBI for claim status?
Claim status query – You should use the MBI if available, but are allowed to use the HICN to check the status of a claim (276 transactions, or within the IVR or portal) if the earliest FROM date of service on the claim is before January 1, 2020.
What is a span date?
Dates of service before the MBI change date – use the old or new MBI. Span-date claims with a "From Date" before the MBI change date – use the old or new MBI. Dates of service that are entirely on or after the effective date of the MBI change – use the new MBI.
Is a Medicare card a confidential information?
The MBI is confidential and should be protected as Personally Identifiable Information. Effective January 1, 2020: The MBI is required for all transactions submitted to Medicare including (not all inclusive) ...
When can I use HICN?
However, there are a few exceptions when you can use either the HICN after January 1, 2020, if you are unable to obtain the MBI: Appeals – You should use the MBI if available, but are allowed to use HICNs for claim appeals and related forms if the MBI is unavailable.
Can a beneficiary change MBI?
The MBI may be changed due to a beneficiary or authorized representative request, or CMS may initiate the change. Refer to " What to Do If the MBI Changes .". Using the old or new MBIs in relation to claim submissions: Span-date claims with a "From Date" before the MBI change date – use the old or new MBI.
