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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