HomeLatest NewsFederal NewsProvider Claims Must Include Medicare Beneficiary Identifiers by Jan. 1

Provider Claims Must Include Medicare Beneficiary Identifiers by Jan. 1

SDAHO reminds members that beginning Jan. 1, 2020, all provider claims must be submitted with Medicare beneficiary identifiers (MBIs) regardless of the date the service was performed. Claims submitted with Social Security number-based health insurance claim numbers will be rejected, with a few exceptions.

Noridian Healthcare Solutions offers several resources on MBIs, and CHA encourages members to review the following information before the transition period ends on Dec. 31:

Based on recent data shared with SDAHO by Noridian Healthcare Solutions and the Centers for Medicare & Medicaid Services, South Dakota providers are currently reporting the new MBI at around 87% of claims.


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