Traditional All claims require the complete Health Insurance Claim (HIC) number in Item 1a of the CMS-1500 claim form or in the appropriate field for electronic claims.
Enter the patient’s Medicare HIC number exactly as it appears on the patient’s Medicare card whether Medicare is the primary or secondary payer. Enter the number without spaces and/or hyphens.
The HIC number should be nine digits followed by a valid suffix.
Example: # # # # # # # # # A
The following are examples of valid HIC number suffixes:
Code Type A Wage earner (retirement) B Wife B1 Husband C1–C9 Child (includes disabled or student child) D Aged widow D1 Widower E1 Surviving divorced mother E5 Surviving divorced father G Claimant of lump-sum death benefits M Uninsured – premium health insurance benefits (Part A) M1 Uninsured – qualified for but refused HIB (Part A) T Uninsured – entitled to HIB (Part A) under deemed or renal provisions W Disabled widow W1 Disabled widower