SCGhealth Blog


New Secure Medicare Cards - What They Mean for You

Wednesday, November 01, 2017

By Audrey Landers, Intern

In April 2018, the Centers for Medicare & Medicaid Services (CMS) will be rolling out brand new ID cards without Social Security Numbers (SSN). This change is being made in reaction to the Medicare Access and CHIP Reauthorization Act (MACRA) which requires that SSNs be removed from Medicare cards by April of 2019. 

In order to help protect Medicare beneficiaries from identity theft, the SSN-based Health Insurance Claim Number (HICN) will be replaced by new Medicare Beneficiary Identifiers (MBI). These MBIs will be randomly generated 11-character alphanumeric codes with no specific meaning.

Source: Center for Medicare and Medicaid Services


CMS will be allowing an adjustment period from April 1, 2018 to December 31, 2019. SCG Health recommends that practitioners use this time to test, collect data from, and perfect their document management system (DMS) and claims submission system as well as remind patients of the change. During this time period, both the HICN as well as the new MBIs may be used to submit claims. Your practice will be expected to be able to use MBI exclusively by January 1, 2020 with limited exceptions. These exceptions include:

  • Appeals
  • Claim status query (Date of service before 1/1/2020)
  • Span-date claims (DOS before 1/1/2020)
  • Home health claims & Requests for Anticipated Payments (DOS before 1/1/2020)

Even when these exceptions apply, you are urged to use the new MBIs when possible.

Getting Ready
In order to be prepared for the transition period, your DMS and claims submission systems must be ready to accept MBIs no later than April 1, 2018. CMS is currently running a television ad campaign discussing the new cards and you can help spread awareness by making information about the new cards available in your offices. CMS suggests displaying posters and putting out pamphlets in waiting areas as well as discussing the new cards directly with your patients. They should be aware that the cards will be sent out automatically starting April 1, 2018 and all Medicare beneficiaries should have new cards by April 1, 2019. There is nothing they need to do to get a new card. You should also take the opportunity to keep your patients from getting scammed during the transition period by making sure they are aware of the following:

  • CMS will never call a beneficiary, nor will they ever ask for their SSN.
  • The new Medicare cards are free, CMS will never ask a beneficiary for payment for a new card.
  • If a beneficiary receives a phone call from someone who asks for their MBI, SSN or for payment, they should hang up immediately and call 1-800-MEDICARE
For more information on the new Medicare cards, you can visit CMS’s New Medicare Card Overview.

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