Insurance ID format - major insurance of Florida

 Here is the list of some major insurance and insurance id format

Insurance name ID# Format Comments
AARP Health care 961574644 9 Digit Number and this Insurance always be a secondary because this medicare supplement plan
AARP Medicare Complete 915336628 9 Digit Number and this Insurance always be a Primary because this Medicare HMO plan
Advantra Coventry 809118617 9 Digit Number
Advantra Freedom Medicare 809323417 9 Digit Number and this Insurance always be a Primary because this Medicare HMO plan
Aetna W101444750 Commercial
578822521 Commercial
American Pioneer 031102740 9 Digit Number and this Insurance always be a secondary
Amerigroup 714891947 9 Digit Number
APWU 914135950 9 Digit Number
AVMED A1027011906 Always ID# begin with A followed by 10 digits
Bankers Life Casualty 209074071 9 Digit Number
BCBS POKH92835893
Florida BCBS always has Letter "H" after three Alpha character
R51006221 ID# begin with "R" followed by 8 digit
Blue option plan
Champva ID# is Patient SSN#  Champva is secondary to most other health plan and champva is primary to medicaid
Cigna U33611831 Always ID# begin with "U" followed by 8 digits
Careplus 1206720 7 Digit Number and This is Medicare HMO Plan
Cigna - Baycare 100119500 9 Digit Number
Evercare 857716531 9 Digit Number and This is Medicare HMO Plan
Freedom Health P0003496501 Always ID# begin with "P" followed by 10 digits
GEHA 21228436 8 Digit Number
GHI 930632448 9 Digit Number
Golden Rule 058827372 9 Digit Number
Hospice ID# is Patient SSN#  Always primary and hospice does not insurance company
Humana H46899857 Mostly ID# begin with "H" it might be Medicare HMO plan and Non-Medicare HMO plan
700375124 9 Digit Number and this Non - Medicare HMO plan
MHBP (Mail HandlersBenefit plan 784080159-02 11 Digit Number
Medicaid 7915832042 10 Digit Number
Medicare 206344498A and 340018309C1 9 Digit followed by one alpha and ( Exception case 340018309C1)
NALC N32233015 ID# begin with "N" followed by 8 digit
Optimum Health T0001965601 Always ID# begin with "T" followed by 10 digits
QHP MCR515769 Always ID# begin with "MCR" followed by 6 digits
Rail Road Medicare A721031033 ID# begin with alpha beore numeric
Tricare ID# is Patient SSN#  9 Digit Number
UHC 854728427 9 Digit Number
Universal Healthcare MM557410087 ID begin with TWO alpha followed by 9 digit numbers

New Medicare Cards with New Numbers: 3 Changes You May Need to Make

The Medicare Access and CHIP Reauthorization Act of 2015 requires CMS to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019. CMS will begin mailing new Medicare cards with a new Medicare number (currently called the Medicare Claim Number on cards) to your patients in April 2018. You may need to change your systems to:

Accept the new Medicare number (Medicare Beneficiary Identifier or MBI).  Use the MBI format specifications if you currently have edits on the current Health Insurance Claim Number (HICN).

Identify your patients who qualify for Medicare under the Railroad Retirement Board (RRB). You will no longer be able to distinguish RRB patients by the number on the new Medicare card. You will be able to identify them by the RRB logo on their card, and we will return a message on the eligibility transaction response for a RRB patient. The message will say, “Railroad Retirement Medicare Beneficiary” in 271 Loop 2110C, Segment MSG. If you use the number only to identify your RRB patients beginning in April 2018, you must identify them differently to send Medicare claims to the RRB Specialty Medicare Administrative Contractor, Palmetto GBA.

Update your practice management system’s patient numbers to automatically accept the new Medicare number or MBI from the remittance advice (835) transaction. Beginning in October 2018, through the transition period, CMS will return your patient’s MBI on every electronic remittance advice for claims you submit with a valid and active HICN. It will be in the same place you currently get the “changed HICN”:  835 Loop 2100, Segment NM1 (Corrected Patient/Insured Name), Field NM109 (Identification Code).

1 comment:

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