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October 2, 2018

New Medicare Card: MBI on Remittance Advice October 1

Beginning October 1, 2018, through the end of the transition period, your Medicare Remittance Advices will return both the new Medicare Beneficiary Identifier (MBI) and Health Insurance Claim Number (HICN) when you submit a claim with a valid and active HICN. We will report the MBI in the same place you get the "changed HICN" today. You can also get the MBI by asking your patients for their new Medicare card or using the myCGS portal. Refer to the myCGS MBI Look-up Tool Job Aid for details.

To ensure your Medicare patients continue to get care, you can use either the HICN or MBI for all Medicare transactions through December 31, 2019.

The MBI will be in the same place you currently get the "changed HICN":

835 Loop 2100, Segment NM1 (Corrected Patient/Insured Name), Field NM109 (Identification Code)

If you submit a claim using your patient's MBI, this field will be blank.

Medicare Remittance Advice Examples

Medicare Remit Easy Print (MREP) (for Medicare Part B providers & suppliers)

  • The Centers for Medicare & Medicaid Services (CMS) provides free MREP softwareExternal website so you can see and print remittance advice information.

Starting October 1, 2018, the MREP will also give you the MBI when you submit a claim with a valid and active HICN. The current MREP Remittance Advice HICN label will display as Medicare ID (MID) and a new MID label and field will show the MBI number that's in the ASC X12N 835:

Loop 2100, NM109 of the Corrected Patient/Insured Name Segment

Here's an MREP exampleExternal PDF.

PC Print (for Medicare Part A providers & facilities)

Starting October 1, 2018, the PC Print will also give you the MBI when you submit a claim with a valid and active HICN. The current PC Print Remittance Advice HICN label will display as Medicare ID (MID) and a new MID Corrected (MID COR) label and field will show the MBI in the ASC X12N 835:

Loop 2100, NM109 of the Corrected Patient Name Segment

Here's a PC Print exampleExternal PDF.

Standard Paper Remits (SPRs)

  • Starting October 1, 2018, SPRs will also give you the MBI when you submit a claim with a valid and active HICN. Here are SPR examples:
    • FISSExternal PDF (Medicare Part A/Institutional)
    • MCSExternal PDF (Medicare Part B/Professional)

More information about the Transition PeriodExternal website is available on the CMS website.

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