Medicare is taking steps to remove Social Security numbers from Medicare cards. Through this initiative, the Centers for Medicare & Medicaid Services (CMS) will prevent fraud, fight identity theft and protect essential program funding and the private health care and financial information of our Medicare beneficiaries.
CMS will issue new Medicare cards with a new unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI) to replace the existing Social Security-based Health Insurance Claim Number (HICN) both on the cards and in various CMS systems we use now. We’ll start mailing new cards to people with Medicare benefits in April 2018. All Medicare cards will be replaced by April 2019.
CMS is committed to helping providers by giving them the tools they need. We want to make this process as easy as possible for you, your patients, and your staff. Based on feedback from health care providers, practice managers, and other stakeholders, CMS is developing capabilities where doctors and other health care providers will be able to look up the new MBI through a secure tool at the point of service. To make this change easier for you and your business operations, there is a 21-month transition period where all health care providers will be able to use either the MBI or the HICN for billing purposes.
Therefore, even though your systems will need to be able to accept the new MBI format by April 2018, you can continue to bill and file health care claims using a patient’s HCIN during the transition period. We encourage you to work with your billing vendor to make sure that your system will be updated to reflect these changes as well.
Beginning in April 2018, Medicare patients will come to your office with new cards in hand. We’re committed to giving you the information you need to help your office get ready for new Medicare cards and MBIs.
Take 5 Steps to Get Ready
Here are 5 steps you can take today to help your office or health care facility get ready:
- Go to our provider website and sign-up to for the weekly MLN Connects® newsletter.
Attend our quarterly calls to get more information. We’ll let you know when calls are scheduled
in the MLN Connects newsletter.
- Verify all of your Medicare patients’ addresses. If the addresses you have on file are different
than the Medicare address you get on electronic eligibility transactions, ask your patients to
contact Social Security and update their Medicare records.
- Work with us to help your Medicare patients adjust to their new Medicare card. When available
later this fall, you can display helpful information about the new Medicare numbers cards. Hang
posters about the change in your offices to help us spread the word.
- Test your system changes and work with your billing office staff to be sure your office is ready to
use the new MBI format.
- We’ll keep working closely with you to answer your questions and hear your concerns. To learn more,