Medicare Claim

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Sara Monk

• April 02, 2021 19:43

Hi Everyone,

My practice was recently credentialed with Medicare and I have two patients scheduled for the following week. This will be our first time billing Medicare and I am sure some things may be different. One of our patients provided us with a Medicare card that has the MBI on it and a AARP Medicare Supplement Plan that has a Membership ID on it. Which one should I be using when I file the claim?  Also, the AARP Medicare Supplement Plan has a Payer ID and the Medicare card does not. Where would I find the Payer ID for Medicare other than calling them to find ou?

Thank you in advance,

Sara

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  Jasmine Mitchell

  • April 02, 2021 19:53

  Check your state. In Virginia we file therapy to Medicare Part B as primary. Then once the primary claim comes back with a payment you will file a secondary claim to aarp for the remainder. However, in most cases Medicare will automatically cross the claim over to aarp for you. 

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  Sara Monk

  • April 02, 2021 20:14

  I have a nutrition practice in New Jersey and we are also supposed to bill medical nutrition therapy to Medicare Part B. Would this mean that I need to use the MBI in the claim as opposed to the Membership ID on the AARP card?

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  Jasmine Mitchell

  • April 05, 2021 12:19

  Because those are two different insurances, you are using two different numbers. The MBI is for the primary insurance claim and goes on the initial claim. The AARP is a secondary insurance and will only go on the secondary claim once the primary pays you. 

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  Ayelette

  • June 06, 2021 22:05

  Hi Jasmine,

  Thank you for providing guidance here!

   

  Hi Sara,

  We'd be happy to help.

  If you still have any questions regarding your account or your clients, note that the quickest way to reach us is by clicking the blue question mark > Get Help option on the lower right of your SimplePractice account. You can also reach us on our Live Chat feature, offered Monday - Friday, 6am - 7pm PT (learn more here).

  Although we're periodically monitoring the Community Forum, this is also a place for customers to exchange ideas and engage with one another on how to best use our platform, and we appreciate you acting as resources for each other in the meantime. 

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