US · guidance
CMS Pub. 100-04, ch. 6, § 70.2
Billing for Covered Services
The term Medicare beneficiary identifier (Mbi) is a general term describing a
beneficiary’s Medicare identification number. For purposes of this manual, Medicare
beneficiary identifier references both the Health Insurance Claim Number (HICN) and
the Medicare Beneficiary Identifier (MBI) during the new Medicare card transition
period and after for certain business areas that will continue to use the HICN as part of
their processes.
Upon cessation of a SNF’s participation in the program, or when a SNF is not receiving
payments for new admissions, the RO is supplied with the names and Medicare
beneficiary identifiers of Medicare beneficiaries entitled to have payment made on their
behalf for services in accordance with §80.1.
SNFs no longer participating in the program, or those under a denial of payment for new
admissions, continue to bill for covered services per §80.l. They continue to submit “no-payment” death, discharge and reduction from SNF level of care bills for Medicare
beneficiaries admitted prior to the termination of their agreement, or prior to the denial of
payments for new admissions.
History
(Rev. 4247, Issued: 03-01-19, Effective: 04-01-19, Implementation: 04-01 -19)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
2a470a0e9070d3c618ddd8c9b731b4929b06b124acbf7f4d082b374e45646882
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