New Medicare Card: 80% of Claims Submitted with MBI

Many providers are using Medicare Beneficiary Identifiers (MBIs) for Medicare transactions. For the week ending September 27, providers submitted 80% of fee-for-service claims with the MBI. Help protect your patient’s personal identity by using MBIs for Medicare business, including claims submission and eligibility transactions. Claims with MBIs by provider type:

·         Institutional: 83%

·         Professional: 80%

·         Durable Medical Equipment: 74%

Starting January 1, 2020, all providers must use the MBI when billing Medicare regardless of the date of service:

·         We will reject claims submitted with Health Insurance Claim Numbers (HICNs) with a few exceptions

·         We will reject all eligibility transactions submitted with HICNs

Don’t have an MBI?

·         Ask your patients for their cards. If they did not get a new card, give them the Get Your New Medicare Card flyer in English or Spanish.

·         Use your Medicare Administrative Contractor’s look-up tool. Sign up  or the Portal to use the tool.

·         Check the remittance advice. We return the MBI on the remittance advice for every claim with a valid and active HICN.

For more information, see the MLN Matters Article.

https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2019-10-10-eNews.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending#_Toc21418506