What is the format for Medicare insurance numbers?
Asked by: Dr. Katelynn Schaefer DDS | Last update: October 23, 2025Score: 4.5/5 (49 votes)
Is the Medicare number 10 or 11 digits?
How many characters will the MBI have? The MBI has 11 characters, like the Health Insurance Claim Number (HICN), which can have up to 11.
What is the format of the Medicare card number?
8 digits (Medicare card) the ninth character (the checksum) is a digit. the tenth character (the issue number) is a digit. the eleventh character (the individual reference number) is optional and if included a digit.
What is the structure of the Medicare provider number?
The first two digits indicate the state where the provider is located, using the SSA state codes; the middle two characters indicate the type of provider; and the last two digits are used as a counter for the number of providers within that state and type of provider (i.e., this is a unique but not necessarily ...
How to look up Medicare mbi number?
We recommend attempting to locate the MBI via SSA.gov or calling 1-800-MEDICARE before going with this option. The first two methods are available 24/7, and often provide you and your client with an answer fast. Carriers usually have set office hours, so it can take them longer to get an MBI.
Medicare Part A B C D Explained (and made simple!)
What is MBI number format?
On a Medicare card, an MBI will appear similar to this: 1EG4-TE5-MK73. The second, fifth, eighth, and ninth characters are always letters while the first, fourth, seventh, tenth, and eleventh characters are always numbers. You can visit cms.gov for more information on the format of an MBI.
What is the format of the old Medicare number?
The old number was comprised of your social security number followed by a letter, such as “A”; the new number is a random series of numbers and capital letters.
What is the template for Medicare number?
The MBI's 2nd, 5th, 8th, and 9th characters are always letters. Characters 1, 4, 7, 10, and 11 are always numbers. The 3rd and 6th characters are letters or numbers. We don't use dashes in the MBI.
What does a Medicare number look like for providers?
This identifier is a six-digit number. The first two digits specify the state in which the provider is located, and the last four digits indicate the type of facility. For ambulatory surgery centers, the MPN is 10 digits — with the first two digits representing the state where the surgery center is located.
What is the basic structure of Medicare?
Medicare consists of four programs: Hospital Insurance (Part A), Supplementary Medical Insurance (Part B), Medicare Advantage (Part C), and Medicare Prescription Drug Benefit (Part D). This guide focuses on the Original Medicare program (Parts A and B), also known as Medicare fee-for service.
How do I find my Medicare numbers?
To get your Medicare card or number: Sign in to your MyMedicare.gov account. If you don't have an account yet, visit MyMedicare.gov to create one. You can sign in to see your Medicare Number or print an official copy of your card.
What are the 6 things Medicare doesn't cover?
- Eye exams (for prescription eyeglasses)
- Long-term care.
- Cosmetic surgery.
- Massage therapy.
- Routine physical exams.
- Hearing aids and exams for fitting them.
What is traditional Medicare number?
1-800-MEDICARE | CMS.
How to write a Medicare number?
While your Individual Reference Number is the number to the left of your name on your card, your Medicare Card Number is the 10 digit number that appears above your name, across the top section of the card. When providing your number, you must include the last digit.
What does the Medicare card look like?
Everyone who enrolls in Medicare receives a red, white, and blue Medicare card. This card lists your name and the dates that your Original Medicare hospital insurance (Part A) and medical insurance (Part B) began. It will also show your Medicare number, which serves as an identification number in the Medicare system.
Are Medicare ID numbers changing in 2024?
MEDICARE BENEFICIARY NUMBERS CHANGING FOR NEARLY 1 MILLION MEDICARE BENEFICIARIES MID-OCTOBER 2024 | StateWide.
Why would a provider have 2 Medicare numbers?
To participate in Medicare, a provider needs both an NPI and a PTAN number. While a provider has only one NPI, the provider may have multiple PTAN numbers, representing enrollment through multiple practices or with multiple Medicare contractors.
What is the Medicare provider number called?
Medicare numbers are also known as the CCN, P-Tan, Oscar, Provider number, or Medicare ID.
How many digits is a Medicare certification number?
The CCN is used to verify Medicare/Medicaid certification for survey and certification, assessment-related activities and communications. The RO assigns the CCN and maintains adequate controls. The CCN for providers and suppliers paid under Part A have 6 digits.
What is the suffix on a Medicare claim number?
The most common letter at the end of a Medicare number
Government employees will see a “TA”. Disabled individuals will see a “HA” after their Medicare Number. If you are on Medicare through your spouse you will see “B”. If you spouse is deceased, the letter at the end of your Medicare card would be “D”.
Is the BNC number the same as the Medicare number?
No, the BNC (Beneficiary Notice Code) is different from your Medicare number.
Can you look up Medicare numbers?
Use your MAC's secure portal
Using your MAC's portal, you can look up any Medicare patient's MBI, regardless of where the patient lives. Even if your patients are in a Medicare Advantage Plan, you can look up their MBIs to bill for things like indirect medical education.
What is my 11-digit Medicare number?
If you have your card, your Medicare number will be the unique 11-digit number on the front of the card. If you don't have your card and you need your Medicare number right away, it is easy to find by logging into your MyMedicare.gov account.
How is Medicare number assigned?
Every person with Medicare is given a randomly generated, 11-character (alpha-numeric) ID, called a “Medicare Number.” Your Medicare Number is a unique ID number for Medicare, not your Social Security number.