Medicare MBI Lookup Solution

Find a Medicare patient’s new MBI ID

Find a Medicare patient’s MBI ID with Part A & B Status Details and Dates.

CMS replaced the SSN-based HICN with a new, randomly generated Medicare Beneficiary Identifier and requires the MBI ID for all Eligibility Verification, Claim Submission, reopening requests, and prior authorization requests.

pVerify offers a new, scalable solution for obtaining the new Medicare MBI ID, your patient’s MBI number, quickly and easily by submitting the patient data including SSN/HICN, DOB and Name.

Reduce Denials and Increase Revenue with pVerify’s MBI Lookup Solution!

pVerify’s Medicare MBI Lookup Features

MBI Lookup Features

    Never lose revenue because of an old HICN number
  • First/Last Name, DOB plus a patient’s Social Security Number or old HICN. 
  • Auto-fill results to immediately verify their Eligibility. 
  • MBI Lookup results include Medicare A & B status and dates. 

Single Patient: With redirect to Eligibility

    The MBI Lookup Tool must be run to obtain the new MBI ID prior to verifying a Eligibility of a Medicare patient.  With a built in radio button, one-click auto fills the patient’s details into the Medicare Eligibility – Summary Dashboard fields with a second click completing the verification and additional radio buttons for Same or Similar, Medicare CMN, and Inpatient SNF.

 

Batch Upload

    pVerify supports unlimited uploads of Medicare patients to be processed to find their MBI ID

 

MBI Lookup API

    pVerify offers extensive capability with our robust APIs for our Medicare MBI Lookup Solution. Visit the Developers Tab for more information.

Learn more 

Meet with a pVerify Representative to your current work flow and unique requests to determine the best combination of pVerify’s Solutions for your needs.

Verify – Estimate – Collect

Our automated, date-of-service patient insurance verification brings unprecedented efficiency to your front-office workflow. Coupled with our Patient Estimator and hands-free Patient Payment, our Solutions can significantly reduce patient debt and improve front-office collections.

Advanced Eligibility

Verify a patient ahead of time or during their procedure with pVerify’s All Payer Advanced Eligibility Solution in Instant, Batch, or API Eligibility, in real-time with accuracy down to the service received.

Patient Estimator

Estimate patient financial responsibility powered by Eligibility results and your unique fee schedules for quick and easy cost estimates.

Healthcare APIs

The Industry service leader in Realtime Healthcare APIs for Eligibility, Claim Status, & DME Solutions.