eMedNY: Pre-Adjudication Message About MBI

As previously reported in Intelligence, the Centers for Medicare and Medicaid Services (CMS) has replaced all Medicare Social Security Number (SSN)-based member identifiers, also known as Health Insurance Claim Numbers (HICN), with a new Medicare Beneficiary Identifier (MBI).

Effective Jan. 1, 2020, in alignment with the CMS Medicare Card Replacement Initiative, eMedNY will reject all inbound claims with Medicare coordination of benefits (COB) data that contain the HICN of the Medicare Member. The MBI is required for all COB reporting for clients with Medicare reported on a claim as COB after Jan. 1, 2020. Please see their notice here.

Contact: Meg Everett, meverett@leadingageny.org, 518-867-8871