Billing Beat

Redaction of Health Insurance Claim Numbers (HICNs) in Medicare Redetermination Notices (MRNs)

October 30, 2013

Medicare contractors are required to issue a notice of Medicare redetermination after an appeal is requested in accordance with 42 CFR Section 405.956. One of the elements in the MRN is the beneficiary’s HICN. To ensure that contractors protect personally identifiable information, CMS is requesting that all contractors redact the HICNs in the MRNs. The HICNs will be redacted by replacing 5 or more values of the HICN with Xs or asterisks (*) with the last 4 or 5 digits of the HICN displayed. This applies to HICNs with both alpha and numeric digits.

Source: https://www.noridianmedicare.com

Sign up for Billing Beat