Annual and QMB Deductible in NMP - Reminder

Annual Deductible

The 2019 annual Medicare deductible amounts can be found on the Noridian Medicare Portal (NMP) when performing an Eligibility inquiry. Select second or third default date-range choice under Optional Details. The second option provides the deductible as of the current date and the third option allows a specific date range to be entered. These search options will ensure the 2019 deductible amount will display when 2019 dates are used.

This image shows the date range options that may be used when submitting an eligibility inquiry.

QMB Deductible Not Available

Qualified Medicare Beneficiaries (QMBs) are individuals enrolled in both Medicare and Medicaid. QMBs are not liable for Medicare deductibles; therefore, to prevent patient status errors, incorrect billing, and financial records, deductible information for QMB patients is not provided within NMP.

Noridian recommends providers contact their patient's state Medicaid agency for any questions about deductible billing.

This image shows the Eligibility response screen with a green banner indicating the beneficiary is a QMB enrollee.

For QMB program information and related Remittance Advice (RA) remark codes, visit the Qualified Medicare Beneficiary (QMB) Program webpage.

            Last Updated Thu, 12 Sep 2019 12:45:54 +0000