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September 3, 2019

ACE Smart Edits

As a part of our new ACE Smart Edits, beginning September 4, 2019, you will receive an informational message on your 277CA when a Health Insurance Claim Number (HICN) or invalid Medicare Beneficiary Identifier (MBI) is present on a claim. There is no action needed, however, you can avoid this message by using the new MBI when submitting claims. Please make your clearinghouse or vendor aware of this change. After December 31, 2019, Medicare will ONLY accept claims with MBI’s. Use our myCGS MBI lookup tool to obtain a valid MBI for claim submission. For details, refer to the Introducing…the myCGS MBI Look-Up Tool! job aid. To find out more about our ACE Edits, please visit the ACE (Advanced Communication Engine) Web page.

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