Billing Beat

New Medicare Card: 80% of Claims Submitted with MBI

November 7, 2019

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

Source: https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2019-10-10-eNews.html

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