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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.
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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.

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