What do Medicare suffixes mean?
Medicare Suffixes Here’s what the letters behind the Medicare number mean: *A = retired worker B = wife of retired worker B1 = husband of retired worker B6 = divorced wife B9 = divorced second wife C = child of retired or deceased worker; numbers after C denote order of children claiming benefit D = widow D1 = widower D6 = surviving divorced wife
What does Medicare suffix mean?
Medicare entitlement under Code J or Code K depends on your work history, and specifically on the number of quarters of employment that have been reported to Social Security. A suffix of JI, J2, K1, or K2 indicates you are entitled to Medicare Part A. A J3, J4, K3, or K4 suffix, meanwhile, indicates you are able to purchase Medicare Part A coverage.
What does the suffix on a Medicare number mean?
The suffixes on a Medicare number are codes that tell Medicare under whose Social Security number you are being given benefits,and your relationship to that person. It is called the Beneficiary Identification Code (BIC). A Social Security number followed by A tells Medicare that the person filing is the retired or disabled worker who paid into ...
What are the suffixes for Medicare?
Medicare based on chronic renal disease. These refer to Medicare Qualified Government Employment (MQGE) beneficiaries. Federal employees and their family members who meet the regular requirements for Medicare of age, disability, or end-stage renal disease, have suffixes ending with A-H,J-N,P-Z, or 2-9. TA Federal wage earner TB Living spouse
What is the suffix on a Medicare card?
The second part of the claim number is the suffix. It is usually a letter, which may or may not be followed by a digit. The suffix indicates the type of benefits the claimant receives.
What does the letter at the end of my Medicare number mean?
After the numerical sequence, there will be a letter or a letter followed by another number. These codes indicate Medicare eligibility. For example, assume you are the wife (62 years or older) of the primary claimant, and your husband's SSN is 555-55-5555. Your Medicare number would be 555-55-5555-B.
What does an M mean at the end of a Medicare number?
Code M – is used for someone who is enrolled in Medicare Part B but is not yet eligible for Medicare Part A coverage. M1 indicates you are enrolled in Part B and are also eligible for coverage under Medicare Part A but have refused Part A coverage.
What do the letters in Medicare mean?
There are four parts of Medicare: Part A, Part B, Part C, and Part D. Part A provides inpatient/hospital coverage. Part B provides outpatient/medical coverage. Part C offers an alternate way to receive your Medicare benefits (see below for more information). Part D provides prescription drug coverage.
What is the Medicare number format?
How does the MBI look on the card? The MBI's 2nd, 5th, 8th, and 9th characters are always letters. Characters 1, 4, 7, 10, and 11 are always numbers. The 3rd and 6th characters are letters or numbers.
How do I write my Medicare number?
Your 10 digit Medicare Card Number....In this example below the correct details are as follows:The Card Number is 1234567890 for the entire family.John Smith's Individual Reference Number (IRN) is 1.Helen Smith's IRN is 2.James Smith's IRN is 3.Jessica Smith's IRN is 4.
Is your Medicare number the same for Part A and B?
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.
What is Medicare A and B?
Part A (Hospital Insurance): Helps cover inpatient care in hospitals, skilled nursing facility care, hospice care, and home health care. Part B (Medical Insurance): Helps cover: Services from doctors and other health care providers.
Is Medicare Advantage A or B?
Medicare Advantage Plans are another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage (Part D).
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 C1 mean after a Social Security number?
ChildWhat Do The Letters After A Social Security Or Medicare Number Mean?CodeIdentificationC1-C9Child – Includes minor, student or disabled childDAged Widow, age 60 or overD1Aged widower, age 60 or overD2Aged widow (2nd claimant)30 more rows•Jul 10, 2010
What does it mean when a medicare card ends in A?
Most medicare identification numbers you will see end in A. This means that that person has medicare under their own social security number. However there are other ways a person can have medicare and those are reflected in the letter after the social security number on the medicare card. For example if the letter is B or D ...
What does it mean when a letter is in front of a social security number?
If the Letter or letters are in front of the social security number or railroad number, then that patient has Railroad medicare. See Railroad Medicare for more information.
What does the E after 9 mean?
E after the 9 digit medicare number means the person has medicare because they are a widowed mother.
Does my wife's medicare card have an A?
If your wife's medicare card has your SS# then there should be a 'B' after it. If it has her SS# ,then there would be an 'A'. Your SS# with an 'A' on her card does not sound correct. Things do change. She should call Medicare and double check it. Try 8006334227.
Can a disabled child get medicare?
My understanding is that a disabled child may be eligible for medicare under their parents if the child is under 18 years old. A person over 18 and disabled can also qualify for Medicare. A disabled child would have the letter C after the number. Seehttp://www.cahealthadvoc... or the CMS medicare site for more information
Does eligibility go through with this format?
Eligibility goes through with this format and shows same results with either format.
Can you check Medicare eligibility if you are signed up for Medicare on line?
If you are signed up for Medicare on Line-you can check for your patient's eligibility. Most likely it should be an 'A', but he may not have medicare. Part A is for hospitals. Part B for physicians. See my blog of September 7, 2010
When will Medicare remove Social Security numbers?
The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, requires CMS to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019. A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Medicare number on new Medicare cards starting in 2018 for Medicare transactions like billing, eligibility status, and claim status. Find more details here.
What is a T in Medicare?
T An individual entitled to Part A benefits but not to retirement and survivor’s or Railroad Retirement insurance or who is entitled to Medicare based on chronic renal disease. It applies whether or not the beneficiary elects to receive Part B.
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.
Is Medicare card paper or plastic?
The new cards are plastic, not paper. The new cards will show “Part A” immediately following “Hospital” and “Part B” immediately following “Medical”. Beginning in spring, 1991, the word “Medicare” is added in two places on the front of the card. Paper Medicare cards issued before the changeover to the new cards are still valid.
Do you need to obtain eligibility and benefit information prior to rendering services to patients?
A: It is recommended you obtain eligibility and benefit information prior to rendering services to patients . Click here for ways to verify eligibility. You can also do the following:
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 the C code for Medicare?
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.
When did Obama end Medicare cards?
President Obama signed a bill in 2015 that will end the use of these numbers on Medicare cards. Medicare has four years to start issuing cards with new identifiers.
What is the code for widows?
Code E – this category applies to widows and widowers who are also parents of qualifying children. “E” is a particularly complicated category given the many variations.
What does the number portion of a spouse's Social Security number mean?
The number portion could be your spouse’s Social Security number to indicate you qualify for benefits because of your relationship to them. The nature of your eligibility is then indicated by the letter code that follows.
Does Medicare card have a letter code?
Letter codes following the Social Security number on Medicare cards do not indicate the type of insurance.
Will Medicare change their claim number?
Medicare will eventually be changing their claim numbers to use something other than the claimant’s Social Security number .
What is the suffix C in Medicare?
“C” indicates you are the child of a primary claimant. Numerical suffixes following “C” indicate which child you are in relation to the primary claimant. If you are the first child, your suffix is C1; if you are the second child, your suffix is C2; if you are the third child, your suffix is C3; and so on. In all, numerical suffixes following C go all the way to number 9, depending on the order of birth of siblings. If your suffix code is anything in the “C” category, your primary claimant parent’s Social Security Number, and not your own, will constitute the first nine numbers of your Medicare Claim Number.
What is the Medicare number?
This is the number every Medicare recipient should provide in all communication with the Social Security Administration about his or her Medicare account. This is also the number medical providers will need in order to provide Medicare-covered services to a Medicare recipient.
What is the suffix for a parent?
“F” is the parent category, with suffixes for a primary claimant’s father (F1), mother (F2), stepfather (F3), stepmother (F4), adoptive father (F5), and adoptive mother (F6). There is no “F” suffix without a number following it. The primary claimant child’s Social Security Number will constitute the first nine digits of a Code “F” claimant’s Medicare number.
What does the suffix "E" mean in a claim?
“E” alone indicates you are the widowed mother of a primary claimant. Other suffixes in the “E” category include E1 for the surviving divorced mother of a primary claimant; E2 for the second widowed mother of a primary claimant; E3 for the second divorced mother of the primary claimant; E4 for the primary claimant’s widowed father; and E5 for the primary claimant’s surviving divorced father. “E” may be a particularly complicated category given these convoluted variations. In all cases, the primary claimant’s Social Security Number will constitute the first nine digits of a Code “E” claimant’s Medicare number.
How many digits are in Medicare?
Whether the nine digits of your Medicare number match your Social Security Number or another person’s Social Security Number depends on the nature of your eligibility for Medicare. The nature of your eligibility for Medicare is also reflected in the letter code immediately following the numerical portion of your Medicare number.
What does "A" mean in Medicare?
“A” means you are a retired wage earner and the primary claimant. Typically, you paid into the Medicare system during your working years over a period of at least 40 quarters.
What is the suffix for a third husband?
Numerical suffixes in the “B” category continue all the way to 9 (with B9 being the Medicare number suffix for a third husband). If your suffix code is anything in the “B” category, your spouse’s or ex-spouse’s Social Security Number, and not your own, will constitute the first nine numbers of your Medicare Claim Number.
