The Medicare number displayed on your red, white and blue Medicare card (known as an MBI, or Medicare Beneficiary Identifier) is 11 characters long: The 2nd, 5th, 8th and 9th characters are always a letter, and the 3rd and 6th characters are sometimes a letter.
Full Answer
What does the letter suffix on my Medicare card mean?
Clients often ask us about the meaning of the letter suffix on their Medicare card. Your Medicare number (also called Medicare Claim Number) is usually your Social Security number followed by a code.
How many letters are there in a Medicare number?
In all, there are 12 letters that may follow the numerical part of the number. A letter code can be followed by additional number suffix letters. Letter code “A” is the most prevalent code. It denotes a primary claimant who is retired and has paid into the Medicare system as a wage earner for at least 40 quarters.
What does the letter “B” mean on my Medicare number?
It’s important to understand that the letter codes in your Medicare number have nothing to do with enrollment in the various parts of Medicare that are also identified by a letter A, B, C, or D. In other words, it does not mean you are enrolled in Medicare Part B if your number ends with the code “B”.
What do the letters after a Social Security number mean?
Meaning of the letters after a Social Security or Medicare number. / By. The Social Security number followed by one of these codes is often referred to as a claim number. We assign these codes once you apply for benefits. These letter codes may appear on correspondence you receive from Social Security or on your Medicare card.
What are the letters after the Medicare number?
“A” identifies the primary claimant (wage earner) who has qualified for the benefits. “B” identifies a wife, age 62 or over, whose benefits are related to her husband's record. Adding a 1 (B1) identifies a husband receiving benefits based on the wife's record. “D” is a widow and "D1" is a widower, aged 60 or over.
What do the Medicare suffix letters mean?
All “F” codes are followed by a number to signify the relationship. Code H — indicates Medicare eligibility due to disability. HA means you are a disabled claimant. HB means you are the wife of a disabled claimant. HC means you are the child of a disabled claimant.
What does an Hicn number 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 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).
What is C1 for Medicare?
Code C. “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. For example, if you are the first child, your suffix is C1; if you are the second child, your suffix is C2; and so on.
Do Medicare numbers start with a letter or number?
What kinds of characters are in the MBI? MBIs are numbers and upper-case letters. 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.
Is Hicn number the same as a Medicare number?
Slide 1. 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. ...
Is Hicn the same as SSN?
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 does a Medicare beneficiary identifier look like?
On a Medicare card, an MBI will appear similar to this: 1EG4-TE5-MK73. The second, fifth, eighth, and ninth characters are always letters while the first, fourth, seventh, tenth, and eleventh characters are always numbers.
What is HIC number format?
HICN numbers are made up of a nine-byte social security number plus a one to two character Beneficiary Identification Code.
What is medical billing and coding HIC mean?
Medical billing and coding is a practice that combines financial understanding and medical knowledge to bill patients, create insurance claims and build accurate health records for patients.
What is 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.
Why is Medicare conditional?
Medicare makes this conditional payment so you will not have to use your own money to pay the bill. The payment is "conditional" because it must be repaid to Medicare when a settlement, judgment, award, or other payment is made.
What is a POR in Medicare?
A Proof of Representation (POR) authorizes an individual or entity (including an attorney) to act on your behalf. Note: In some special circumstances, the potential third-party payer can submit Proof of Representation giving the third-party payer permission to enter into discussions with Medicare’s entities.
What is a RAR letter for MSP?
After the MSP occurrence is posted, the BCRC will send you the Rights and Responsibilities (RAR) letter. The RAR letter explains what information is needed from you and what information you can expect from the BCRC. A copy of the Rights and Responsibilities Letter can be found in the Downloads section at the bottom of this page. Please note: If Medicare is pursuing recovery directly from the insurer/workers’ compensation entity, you and your attorney or other representative will receive recovery correspondence sent to the insurer/workers’ compensation entity. For more information on insurer/workers’ compensation entity recovery, click the Insurer Non-Group Health Plan Recovery link.
What is conditional payment in Medicare?
A conditional payment is a payment Medicare makes for services another payer may be responsible for.
What information is sent to the BCRC?
The information sent to the BCRC must clearly identify: 1) the date of settlement, 2) the settlement amount, and 3) the amount of any attorney's fees and other procurement costs borne by the beneficiary (Medicare may only take beneficiary-borne costs into account).
How long does interest accrue on a recovery letter?
Interest accrues from the date of the demand letter and, if the debt is not repaid or otherwise resolved within the time period specified in the recovery demand letter, is assessed for each 30 day period the debt remains unresolved. Payment is applied to interest first and principal second. Interest continues to accrue on the outstanding principal portion of the debt. If you request an appeal or a waiver, interest will continue to accrue. You may choose to pay the demand amount in order to avoid the accrual and assessment of interest. If the waiver/appeal is granted, you will receive a refund.
Can you get Medicare demand amount prior to settlement?
Also, if you are settling a liability case, you may be eligible to obtain Medicare’s demand amount prior to settlement or you may be eligible to pay Medicare a flat percentage of the total settlement. Please see the Demand Calculation Options page to determine if your case meets the required guidelines. 7.
How many digits are in Medicare?
The first nine digits of your medicare number should look familiar to you. Most times, they match your social security number. However, there are some cases where it will be the SSN of your spouse, parent or child instead.
Where is my Medicare claim number?
Your Medicare Claim Number is located on your Medicare card underneath the beneficiary name. Providers use this number to provide Medicare covered services. It is also the number you will provide to the Social Security Administration when discussing your Medicare account and terms. The first nine digits of your medicare number should look familiar ...
What does a T in Medicare claim mean?
Medicare Claim Numbers ending in “ T” mean you are eligible for for Medicare Part A, but not for retirement benefits. This could be because you suffer from chronic kidney disease, or have eligibility due to Medicare Qualified Government Employment (MQGE), or the spouse of a MQGE.
What is the Medicare code for primary beneficiary?
Relationships to the Primary Beneficiary Codes. The most common code is code “A”. This simply means you are the primary claimant who has become eligible for Medicare through paying into the Medicare system for over 40 quarters.
What does C1 mean on Medicare?
Suffixes following “C” indicate your relationship to the primary claimant. “C1” means you are the first child, “ C2” means you are the second child and so forth.
Does Medicare Part C appear on your card?
If you have enrolled in Medicare Part C ( Medicare Advantage) or Part D ( prescription drug coverage ), this information will not appear anywhere on your Medicare card, but on a separate membership card that you receive after enrollment.
What is the BCBS prefix?
BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify member’s eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim.
What is a health insurance policy number?
Health insurance policy number: Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims.
Can you use BCBS prefix on another ID?
Do not create one or use the BCBS prefix from another member ID card. By doing it may cause delay in processing or handling the claim. Always use the BCBS prefix on the member’s current ID card followed by the member id number.
When does a plan issue a written notice?
A plan must issue a written notice to an enrollee, an enrollee's representative, or an enrollee's physician when it denies a request for payment or services. The notice used for this purpose is the:
What is a CMS model notice?
CMS model notices contain all of the elements CMS requires for proper notification to enrollees or non-contract providers, if applicable. Plans may modify the model notices and submit them to the appropriate CMS regional office for review and approval. Plans may use these notices at their discretion.
How long does a hospital have to issue a notice to enrollees?
As under original Medicare, a hospital must issue to plan enrollees, within two days of admission, a notice describing their rights in an inpatient hospital setting, including the right to an expedited Quality Improvement Organization (QIO) review at their discharge. (In most cases, a hospital also issues a follow-up copy of this notice a day or two before discharge.) If an enrollee files an appeal, then the plan must deliver a detailed notice stating why services should end. The two notices used for this purpose are:
What is a MOON in Medicare?
Medicare Outpatient Observation Notice (MOON) Hospitals and CAHs are required to provide a MOON to Medicare beneficiaries (including Medicare Advantage health plan enrollees) informing them that they are outpatients receiving observation services and are not inpatients of a hospital or critical access hospital (CAH).
What are the different types of notices?
The following model notices are available in both Microsoft Word and PDF formats in the "Downloads" section below: 1 Notice of Right to an Expedited Grievance 2 Waiver of Liability Statement 3 Notice of Appeal Status 4 Notice of Dismissal of Appeal
What is the claim number for Medicare?
These letter codes may appear on correspondence you receive from Social Security or on your Medicare card. They will never appear on a Social Security card. For example, if the wage earner applying for benefits and your number is 123-45-6789, then your claim number is 123-45-6789 A . This number will also be used as your Medicare claim number, ...
What do the letters after a Social Security number mean?
What do the letters after a Social Security or Medicare number mean? The Social Security number followed by one of these codes is often referred to as a claim number. We assign these codes once you apply for benefits.
What Is It?
- This welcome package is the first mail you'll get from Medicare. It includes a letter, booklet, and Medicare card. The booklet explains important decisions you need to make before your Medicare coverage starts. It's sent to all people who automatically get Medicare because they're getting Social Security benefits before they're eligible for Medicar...
When Should I Get It?
- Welcome package with Medicare card:3 months before your Medicare coverage starts Reminder letter:1 month before your Medicare coverage starts
What Should I Do If I Get These Materials?
- Read the materials carefully as soon as you get them because they explain important decisions that you should make now.
Download A Sample
- Welcome to Medicare package for people living in the United States and some U.S. Territories (the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa) 1. English [PDF, 700 KB] 2. Spanish [PDF, 700 KB] 3. Reminder letter: English/Spanish [PDF, 130 KB] Welcome to Medicare package for people living in Puerto Rico 1. English [PDF, 932 KB] 2. Spanish [PDF, 118…
Publication, Product, Or Other Number
- Product No. 11095 for people living in the United States and some U.S. Territories Product No. 11989 for people living in Puerto Rico Product No. 11871 for people living outside the United States Product No. 12088-E.S for the reminder letter