Reason Code Descriptions and Resolutions

Reason Code 30995

Description:

For services provided on or after January 1, 2020, the Medicare Beneficiary Identifier (MBI) must be submitted. With a few exceptions, Medicare will reject claims submitted with a Health Insurance Claim Number (HICN).

Resolution:

There are 2 ways you can get the patient’s MBI.

• Ask your Medicare patient
• Use the myCGS® MBI Look-up tool
• Check the remittance advice if you previously saw the patient and received a claim payment.

Refer to the SE18006 - New Medicare Beneficiary Identifier (MBI) Get It, Use It MLN Matters article

Posted: 03.11.20