Skip to main content

Time's (nearly) up: if you haven't transitioned to Medicare's new patient identifier system, you need to make the switch by December 31.

Recently, the US Centers for Medicare and Medicaid Services (CMS) announced that the 21-month period for transition to the Medicare Beneficiary Identifier (MBI) is nearly complete, meaning that beginning January 1, 2020, claims submitted with Health Insurance Claims Numbers (HICNs) will be rejected.

The MBI cards feature a unique Medicare identification number that helps CMS move away from identifications that contain the beneficiary's Social Security number. The change, intended to thwart fraud, was required by provisions in the Affordable Care Act and the Small Business Jobs Act.

According to CMS, participation is already high: it estimates that as recently as the week of October 4, 80% of all fee-for-service claims were submitted with MBIs

Providers can learn more about the MBI system by way of a Medicare Learning Network MLN Matters article as well as CMS guide to understanding the MBI format. CMS also offers beneficiary-focused flyers on the new system in English and Spanish.


You Might Also Like...

Article

2026 Medicare Physician Fee Schedule Calculator Now Available for APTA Members

Jan 14, 2026

APTA's 2026 Medicare Physician Fee Schedule calculator — our popular, exclusive member-only resource — is now available to help you calculate payment for

News

Physical Therapy in the News: December 2025

Jan 7, 2026

“Physical Therapy in the News" is a monthly series that highlights recent media coverage of the profession and APTA members.

News

CMS Launches Models for Chronic Care Management and Lifestyle Interventions

Jan 5, 2026

APTA attends ACCESS model launch and highlights opportunities for PTs in both ACCESS and MAHA ELEVATE models.