CMS Reminder about New Medicare Cards

PUBLISHED: Sep 28, 2018
Relevant to: All Healthcare Organizations

The U.S. Centers for Disease Control and Prevention (CDC) is reminding providers that for Remittance Advices generated after October 1, 2018 through the end of the transition period, CMS will return both the new Medicare Beneficiary Identifier (MBI) and Health Insurance Claim Number (HICN) when a claim is submitted with a valid and active HICN.

CMS will report the MBI in the same place providers get the “changed HICN” today. You can also get the MBI by asking patients for their new Medicare card or using the Medicare Administrative Contractor’s MBI look up tool through their portal. Follow the link below to sign up if needed.

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

As a reminder, the New Medicare Care transition period will go through December 31, 2019, and during this time providers submitting claims can use either the HICN or the MBI to exchange data with CMS.

During the transition period, CMS plans to monitor the use of HICNs and MBIs to see how many providers are ready to use only MBIs by January 2020. CMS will also actively monitor the transition and adjustment to the new MBIs to make sure of wide-spread adoption, so Medicare operations aren’t interrupted.

Starting January 1, 2020, providers will have to submit claims using MBIs (with a few exceptions), no matter what the date of service performed.

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