Beneficiary Name/Health Insurance Claim (HIC) Match

It is important to submit claims with the beneficiary's name and HIC number exactly as they appear on the Medicare card. If the name and HIC number on the claim do not match the Medicare card, the claim will deny as unprocessable. If you have a claim denied for this reason, notify the patient and confirm the information.

Medicare Health Insurance Claim CardAdvise patients to contact the Social Security Administration for name changes or corrections. Keep a copy of the beneficiary's Medicare card on file.

For more information, refer to the Beneficiary Name and Medicare Number Mismatch presentation available from the Florida and Connecticut Medicare websites. Refer to the Related WBTs section of this course.