tci Medicare Compliance & Reimbursement - 2020 Issue Q2

Reader Question: Verify MBI Status If Problems Arise

Question: A few of our Medicare patients’ claims have been rejected, despite using their Medicare Beneficiary Identifiers (MBIs). Am I doing something wrong? SuperCoder Subscriber Answer: If you’re getting rejections due to incorrect MBIs, do some research into the error code. “If you get an eligibility transaction error code (AAA 72) of ‘invalid member ID,’ or ‘The the beneficiary you requested cannot be found. Please verify your information,’ your patient’s MBI may have changed” since it was originally issued, the Centers for Medicare & Medicaid Services (CMS) explains in a new article...

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