AGA Family of Websites: Gastro.org
AGA Journals
AGA Journals
AGA University
AGA University
AGA University
AGA Research Foundation
AGA University
AGA Community
AGA University
AGA Job Board
January 8, 2020

Not using MBIs on Medicare claims yet? It’ll cost you

As of Jan. 1, 2020, Medicare stopped pay claims without the new Medicare Beneficiary Identifier (MBI) regardless of the date of service.
Share on facebook
Share on twitter
Share on linkedin
Share on email

Medicare is rejecting all claims submitted without MBIs, regardless of when the service was provided, with some exceptions. The MBI replaces the social security number-based Health Insurance Claim Numbers (HICNs) from Medicare cards and is now used for Medicare transactions like billing, eligibility status and claim status.

Not ready yet? Here’s what you need to do:

  • Talk to your office staff today and make a plan to begin reporting MBIs ASAP. Give them Medicare’s MBI educational materials. Be prepared to reprocess every claim already submitted without an MBI.
  • Get MBIs from your patients and through the MAC portals (sign up). You can also find the MBI on the remittance advice. Medicare returns the MBI on the remittance advice for every claim with a valid and active HICN.

For more information, see the MLN Matters article.

Discussion Icon

Discuss this news

Share this article in the AGA Community, your member-only platform for sharing your thoughts and ideas with your colleagues.

Not a member? Join AGA.

By using this site, you agree to our updated Privacy Policy.