Get the New MBI ID For Your Patients


MBI Lookup Inquiry

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

Registration – Once you register with pVerify and subscribe to the MBI Lookup Plan on our secured portal, you will be enabled with MBI Lookup application under which you will get options to create Request and Search Results.

Existing NPI and PTAN are required

Medicare New ID – Get MBI

It’s 2020 now! The Transition Period for Medicare Number from HICN to MBI (Medicare Beneficiary Identifier) is over and Medicare no longer accepts old HICN for any Medical Eligibility or Claim Submission transaction. Are you still having patient data with old HICN and don’t know what to do or how to get the new Medicare ID from SSN called MBI? Calling the patient and getting the new information is time-consuming, and does not always guarantee correct and complete information as human beings are prone to errors. What happens if the patient brings their old card at the time of visit and fails to provide the new MBI number? It could further delay the check-in registration, and not treating the patient will mean loss of revenue and credibility for your clinic. Do you need to lookup the new MBI number that replaces the Medicare ID of your patient for accurate MBI Eligibility?

API Solution Now Available!

Single Patient MBI Lookup Tool

For an individual patient MBI Lookup you need to provide 9-digit SSN, First Name, Last Name (without Suffix), DOB and State. Leave the Locations field as is.

Once all the information is provided, click on VERIFY button and your request will be queued for checking. Our system provides results in near real-time and MBI’s will be pulled from Medicare System using the information provided.



Batch Processing MBI Lookup

To find MBI ID’s for multiple patients at a time you will need to add their 9-digit SSN, First Name, Last Name (without Suffix), DOB and State to the Batch Format Excel provide in your pVerify Portal. 

Once all the information has been added, upload the file to be processed.  Our system pulls the MBI’s directly from Medicare and is subject to Medicare’s business hours. The time frme for batches varies based on the size and place in the que during processing.

The Only MBI Lookup Tool You’ll Ever Need

 The Centers for Medicare and Medicaid Services removed Social Security Number (SSN)-based Health Insurance Claim Numbers (HICNs) from Medicare cards and are now using Medicare Beneficiary Identifiers (MBIs) for Medicare transactions like billing, eligibility status, and claim status. Starting January 1, 2020, you MUST submit claims using MBI, no matter what date you performed the service. The MBI doesn’t change Medicare benefits. People with Medicare may start using their MBIs right away.

What is MBI?

Every person with Medicare has been assigned a unique new ID called MBI. The MBI is confidential like the SSN and should be protected as Personally Identifiable Information. 

What do MBIs look like?

The MBIs are: Different than the HICN and RRB number.
11-characters in length.
Made up of numbers and uppercase letters (no special characters.)

Do MBI numbers have meaning?

Each MBI number is unique, randomly generated, and the characters are “non-intelligent,” which means they don’t have any hidden or special meaning.

"pVerify was able to provide us the most comprehensive Medicare Preventive Services Eligibility Reports that we run twice a year to schedule our patients for AWV and other preventive services... Prior to pVerify, it used to take us almost a week to generate the report but with pVerify, we are able to get it done the same day!"

– Large Florida-based ACO

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