Top Portal Error Checking Eligibility

One of the top errors that a supplier receives when checking eligibility on the portal is beneficiary not found or beneficiary’s name or birthdate does not match. Just a quick reminder to suppliers that when utilizing the portal for eligibility, ensure all required elements are correct as listed on the Medicare Beneficiary Card. The card includes the beneficiary’s legal name on file with the Social Security Administration and must be used in verifying eligibility.

Required elements when checking eligibility:

  • Medicare number
  • Last name
  • One of the following:
    • First name
    • Date of birth


Last Updated Jan 23 , 2023