It is crucial that beneficiary identification information submitted on claims is identical to the information found on the beneficiary's most recent Medicare card. Make a copy of the Medicare card for your records.
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If you are a laboratory, radiology department, or other entity to which the patient or their service(s) may have been referred, obtain a copy of the patient's Medicare card from the referring source prior to submitting your claim and verify the information indicated below.
Use the beneficiary's Medicare card to verify the following:
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Medicare Beneficiary Identifier (MBI): Verify the beneficiary's MBI, ensuring it has not been changed.
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Beneficiary's name: Verify the beneficiary's name indicated on your claim is exactly as it reads on their Medicare card. For example, do not indicate "Betty" if the card reads "Elizabeth."
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Effective date: Verify the effective date of coverage.
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Part A and/or Part B: Verify which part of the Medicare program the beneficiary is enrolled, either A or B or both.
Eligibility dates: Click here for ways to verify current and previous dates of service eligibility.
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