Medicare Blog

why is there an m at the end of my medicare case number

by Eleanora Kilback MD Published 2 years ago Updated 1 year ago
image

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.May 19, 2016

What does “a” at the end of my Medicare number mean?

“A” at the end of your Medicare number indicates you are a retired wage earner and primary claimant. The numerical part of your Medicare number matches your Social Security Number.

What do the numbers on a Medicare claim mean?

Besides the letter A, which indicates you are a primary claimant who has paid into the Medicare system as a wage earner, there are 33 other common codes that appear at the end of Medicare Claim Numbers to identify the nature of eligibility. There are also many less common codes, a list of which can be found in Section 50.

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.

image

What does the M at the end of a Medicare number mean?

*M = has Part B Medicare only, no SSA benefit. *T = has A and B Medicare, no SSA benefit. W = disabled widow. WA = railroad retirement.

What do the letters at the end of Medicare numbers 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 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 new Medicare number format?

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. You can visit cms.gov for more information on the format of an MBI.

How do I read my Medicare number?

The IRN appears to the left of the patient's name on their 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 do Medicare claim numbers look like?

Your Medicare claim number is the same as your Medicare card number. That means your Medicare claim number is the same as the 11-character series of numbers and letters on the front of your red, white and blue Medicare card.

Do Medicare numbers have letters?

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.

How many Medicare letters are there?

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.

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.

How do I write my Medicare number?

Your Individual Reference Number (IRN or 'Medicare reference number') is the number to the left of your name on the card. When you provide your IRN, ensure that you give the number alongside your name and not the last digit of your Medicare number.

What does the M1 suffix mean on Medicare?

If a person is not eligible for Part B coverage but not Part A, Code “M” will appear on their card. If you are eligible for Part A but have refused it, the “M1” suffix will appear. 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 ...

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.

What is the Medicare code for a wife?

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 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 is the code for Medicare if you are married?

If you are married to or divorced from the living primary claimant, Code “B” will appear on your card. Their SSN will be the first nine digits on your Medicare card.

What does HC mean in Medicare?

“HA” will appear for the disabled claimant, while HB means you are the wife of a disabled claimant (62 or over). “HC” is for the child of a disabled claimant .

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 ...

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 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.

What is a J and K code?

Codes J & K – these categories are for workers and spouses respec­tively who become eligible for special Medicare benefits without drawing Social Security. Varying codes apply depending on whether the worker has enough quarters of employment to earn Part A coverage or if they have to pay for it separately.

What is a W1 card?

W is for widows and W1 is for widowers, while those who’ve been previ­ously married may have different W‑category codes. Most retiree’s Medicare cards currently begin with their Social Security number, which is the most valuable piece of infor­mation for an identity thief.

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.

What letters do you not use on Medicare claim number?

Your Medicare claim number does not use the letters S, L, O, I, B or Z, to avoid confusion.

What is the Medicare claim number?

That means your Medicare claim number is the same as the 11-character series of numbers and letters on the front of your red, white and blue Medicare card.

Why did Medicare send out new cards?

To help remedy the problem of Medicare fraud, the Centers for Medicare & Medicaid Services (CMS) sent new Medicare cards to all beneficiaries in 2018. On the new cards, the Social Security number was replaced by the Medicare claim number to help better protect the identity of each beneficiary and make it harder for someone to commit fraud.

What is a CMS-1490S?

If for some reason you must file a Medicare claim yourself, you must complete the Patient Request for Medical Payment (CMS-1490S) along with an itemized bill for your services or items and a letter detailing the reason for filing the claim yourself.

How long does it take to track Medicare claims?

Once your claim is filed, you may track it online in your MyMedicare.gov account within 24 hours of filing. You will also receive a Medicare Summary Notice in the mail every three months detailing all your claims for that period.

Do you have to file a claim on your own with Medicare?

Medicare beneficiaries generally do not have to file claims on their own. When you receive care, your health care provider will take your Medicare card and use the claim number on the front of your card to file a claim on your behalf. According to Medicare rules, health care providers have one year from the date of service to file a claim.

Does Medicare use Social Security numbers?

Medicare once used a beneficiary’s Social Security number to file claims. But the Medicare program loses billions of dollars to fraud every year, and using a person’s Social Security number makes it easier for people who commit fraud to steal identities and abuse Medicare benefits.

What is Medicare Part A?

Check the status of a claim. To check the status of. Medicare Part A (Hospital Insurance) Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. or.

How long does it take to see a Medicare claim?

Log into (or create) your secure Medicare account. You’ll usually be able to see a claim within 24 hours after Medicare processes it. A notice you get after the doctor, other health care provider, or supplier files a claim for Part A or Part B services in Original Medicare.

What is MSN in Medicare?

The MSN is a notice that people with Original Medicare get in the mail every 3 months. It shows: All your Part A and Part B-covered services or supplies billed to Medicare during a 3-month period. What Medicare paid. The maximum amount you may owe the provider. Learn more about the MSN, and view a sample.

What is Medicare Advantage Plan?

Medicare Advantage Plan (Part C) A type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits, excluding hospice. Medicare Advantage Plans include: Health Maintenance Organizations. Preferred Provider Organizations.

Is Medicare paid for by Original Medicare?

Medicare services aren’t paid for by Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage. or other. Medicare Health Plan. Generally, a plan offered by a private company that contracts with Medicare to provide Part A and Part B benefits to people with Medicare who enroll in the plan.

Does Medicare Advantage offer prescription drug coverage?

Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare drug plans. Check your Explanation of Benefits (EOB). Your Medicare drug plan will mail you an EOB each month you fill a prescription. This notice gives you a summary of your prescription drug claims and costs.

What is my Medicare number?

There is an easy answer to this question. Your Medicare number will be their Social Security number with a “B6” if you are the divorced spouse and will be “D6” if you are the divorced surviving spouse.

Why do people have an A on their Medicare card?

Therefore, your friends and co-workers have an “A” on their Medicare card because they are already receiving their Social Security check. There are more than 30 letter codes which can be attached to a Social Security number to make up a person’s Medicare number with “A” being the most common.

What does the T mean on my Social Security number?

You having a “T” at the end of your Social Security number informs me that you are not receiving your Social Security check yet. The “T” stands for temporary and when you receive your Social Security check, then your Medicare number will change from ending in a “T” to having “A” at the end.

What does an A on my Social Security number mean?

An “A” at the end of your Social Security number indicates that you receive Medicare benefits because you paid into the program while you were working. If your Medicare eligibility is based on someone else’s work history, such as a current spouse, deceased spouse, or ex-spouse, yours will be a completely different Social Security number followed by ...

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9