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New
Medicare Card: Claim Reject Codes After January 1
Get paid. Use Medicare Beneficiary
Identifiers (MBIs) now.
If you do not use MBIs on claims (with a few exceptions) after January 1, you will get:
- Electronic claims reject codes: Claims Status
Category Code of A7 (acknowledgment rejected for invalid information), a
Claims Status Code of 164 (entity’s contract/member number), and an
Entity Code of IL (subscriber)
- Paper claims notices: Claim Adjustment Reason Code
(CARC) 16 “Claim/service lacks information or has submission/billing
error(s)” and Remittance Advice Remark Code (RARC) N382
“Missing/incomplete/invalid patient identifier”
We encourage people with Medicare to carry
their cards with them since we removed the Social Security Number-based
numbers; if your patients do not bring their Medicare cards with them:
- Give them the Get Your New Medicare Card flyer
in English (PDF) or Spanish (PDF).
- Use your Medicare Administrative Contractor’s look-up
tool. Sign up for the Portal to use the tool.
- Check the remittance advice. Until the end of
December, we return the MBI on the remittance advice for every claim
with a valid and active Health Insurance Claim Number.
The
Medicare Learning Network®, MLN Connects®, and MLN Matters®
are registered
trademarks of the U.S. Department of Health and Human Services (HHS).
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