Common Reasons for Message

• Patient does not have Medicare Part B entitlement

Next Step

• Verify patient has Medicare Part B entitlement
• If patient has Medicare Part B benefits, resubmit claim
• Claim must contain the following information exactly as indicated on their Medicare card:
  • Medicare Beneficiary Identifier (MBI) number
  • First and last name (in proper order)
  • If patient has two last names or hyphenated last name, submit each character exactly as it appears on the Medicare card

Claim Submission Tips

• Obtain patient's full name and Medicare Beneficiary Identifier (MBI) number directly from their most current Medicare card
  • Keep a copy on file
• Prior to submitting claim(s), verify patient's eligibility via the Interactive Voice Response (IVR) or the Noridian Medicare Portal (NMP)
  • Be sure patient's date of service falls within their Part B entitlement dates
• If patient sees a problem or has an error on his/her Medicare card, they must contact Social Security Administration (SSA) at 800-772-1213 to make necessary correction(s)