Medicare Beneficiary Identifier Replaces Social Security Number for SPA Claims

Medicare Beneficiary Identifier Replaces Social Security Number for SPA Claims

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The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) required CMS to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019. In their place, CMS has issued Medicare beneficiaries a new, randomly generated Medicare Beneficiary Identifier (MBI).

As of January 1, 2020, the MBI must be used for all communications with CMS regarding Secondary Payer Act compliance. While a transition period was provided, it’s essential to have your practice procedures in place now. Here are a few practical tips:

1. Get the client’s MBI at intake.
2. If your client hasn’t received their new Medicare card or MBI, help them request one. Instructions for obtaining an MBI are available English.
3. Advise clients it’s safe to carry their Medicare cards.
4. Since the new cards no longer include SSNs, the risk of identity theft has been significantly reduced. Clients should feel comfortable carrying their updated cards for medical appointments and related needs.
5. Refuse to provide the client’s Social Security Number to the liability carrier.
6. Instead, provide the MBI for use in mandatory insurer reporting under the SMART Act. This ensures compliance with privacy and security standards while maintaining proper reporting obligations.

Medicare compliance is complex enough without added confusion. The MBI transition period, while necessary, may prove challenging in some cases. The best way to reduce that burden—for both your clients and your practice—is to adopt smart intake and reporting procedures now, rather than later.

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