A/B MAC (A), (B), or (HHH), or DME MAC Requests to Verify

10.9 - A/B MAC (A), (B), or (HHH), or DME MAC Requests to Verify Patient’s Medicare beneficiary identifier (Rev. 4247, Issued: 03-01-19, Effective: 04-01-19, Implementation: 04-01 -19) The term Medicare beneficiary identifier (Mbi) is a general term describing a beneficiary's Medicare identification number. For purposes of this manual, Medicare beneficiary identifier references both the Health Insurance Claim Number (HICN) and the Medicare Beneficiary Identifier (MBI) during the new Medicare card transition period and after for certain business areas that will continue to use the HICN as part of their processes. Where the name and Medicare beneficiary identifier information on a claim does not match the CMS central record, the A/B MAC (A), (B), or (HHH), or DME MAC will return the claim to the provider and request the provider to verify the information. The provider will compare the name and number on the claim with that on provider records. If the information submitted was incorrect, the provider will return the claim to the MAC with the corrected information. If, however, the information in the provider’s records identifying the patient is the same as the information submitted on the claim, the provider will contact the SSO for assistance.