Have you configured your NextGen Office for the Medicare Beneficiary Identifier (MBI) transition?

Effective January 1, 2020, the Centers for Medicare and Medicaid Services (CMS) will only consider Medicare Part B, Medicare Advantage, and Railroad Medicare Claims and Eligibility Transactions that utilize the patient’s new Medicare Beneficiary Identifier (MBI) number. CMS is making the transition to MBIs to better protect sensitive patient information and enhance infrastructure security.


Avoid claim denials

Keep your revenue cycle healthy and know the facts. Effective January 1, 2020:

  • You MUST use MBIs, even for services provided before this date

  • Medicare will reject all claims submitted using a Health Insurance Claim Number (HICN)

  • Medicare will reject all eligibility transactions submitted with HICNs


Below are some, but not all, Rules for Use:

  • MBI replaces the HICN on Medicare transactions, including: claims, eligibility status, and claim status

  • Use MBI in the same fields where HICN numbers were used

  • Avoid claim rejections - do NOT use hyphens or spaces with the MBI

  • And remember, the MBI is considered Protected Identifiable Information (PII).


Prepare your staff today

The information above is only a small portion of the key information you need to know to be ready for the transition to MBIs on January 1, 2020. We urge you to review the 2020 Medicare Beneficiary Identifier (MBI) Overview with your staff as soon as possible before the beginning of the new year. It contains helpful information about the new cards, exceptions, and additional resources.


Prepare NextGen Office for the MBI Number

Click here for step by step instructions on how to prepare your NextGen Office to use the MBI number.


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AVS Medical

Written by AVS Medical