Provider, Physician, and Other Supplier Responsibility When a Request is

10.3 - Provider, Physician, and Other Supplier Responsibility When a Request is Received from an Insurance Company or Attorney (Rev. 11874, Issued: 02-23-23, Effective: 03-24-23; Implementation: 03-24-23) 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. The provider, physician, or other supplier notifies the MSP Contractor, the entity responsible for coordination of benefits (formerly known as the Benefits Coordination & Recovery Center or the Coordination of Benefits Contractor and hereafter termed the “MSP contractor”), promptly if a request is received from an attorney or an insurance company for a copy of a medical record or a bill concerning a Medicare patient. The MSP Contractor is given a copy of the request or, if it is unavailable, details of the request, including: • The name and Medicare beneficiary identifier of the patient; • Name and address of the insurance company and/or attorney; and, • Date(s) of services for which Medicare has been or will be billed. A/B MACs and DME MACs receiving MSP information from providers, physicians, and other suppliers should follow the procedures outlined in Pub. 100-05, Chapter 5.