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October 22, 2019

Is Your Vendor/Clearinghouse Submitting Your Claims with the MBI?

If you send the Medicare Beneficiary Identifier (MBI) to your vendor/clearinghouse on your Medicare claim for payment, but you see both the Health Insurance Claim Number (HICN) and the MBI on your remittance advice, your vendor/clearinghouse is not using the MBI to submit your claims. Contact your vendor/clearinghouse today and ask about their process to submit Medicare claims.

Starting January 1, 2020, Medicare will reject claims submitted with the HICN, with a few exceptionsExternal Website. Make sure your vendor/clearinghouse is submitting your claims with the MBI, or they will be rejected.

For additional information, refer to the Centers for Medicare & Medicaid Services (CMS) Special Edition MLN Matters article, SE18006, New Medicare Beneficiary Identifier (MBI) Get It, Use ItExternal PDF.

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