Beneficiary Eligibility Information Panel
Table of Contents
Beneficiary Eligibility Information Panel
The Beneficiary Eligibility Information panel will provide an overview of basic Medicare eligibility information.
The Beneficiary Information section will provide the following:
- Medicare Number
- Last Name
- First Name
- MBI Term Date, if applicable – If a term date displays, you must contact the beneficiary to obtain the new MBI or use the MBI Lookup Tool, to search for the new MBI.
- Date of Birth
- Date of Death, if applicable
- Sex
- Address, City, State and Zip
The Entitlement Information section will provide the following information.
- Part A Beneficiary Entitlement Reason Code – will display the most recent entitlement reason code for Part A coverage
- Part A Entitlement Date
- Part A Termination Date, if applicable
- Part B Beneficiary Entitlement Reason Code – will display the most recent entitlement reason code for Part B coverage
- Part B Entitlement Date
- Part B Termination Date, if applicable
- Prior Part B Entitlement Date
- Prior Part B Termination Date
- Medicare Inactive Begin and End Dates. When dates are displayed, Medicare is not responsible for coverage due to the inactive status. You must contact the Medicare the beneficiary to determine who is responsible for coverage
The Additional Information section will provide the following information.
- Full Inpatient Days
- Copay Inpatient Days
- Inpatient Deductible Amount Remaining
- Full SNF Days
- Copay SNF Days
- Inpatient Blood Deductible Units Remaining
- Lifetime Psychiatric Days Remaining
- Lifetime Reserve Days Remaining
- Earliest Billing Date
- Latest Billing Date
Printable View
If you prefer to view all available Eligibility information in one document or if you would like to save the information for your records follow these steps:
- Select the Printable View link in the upper right hand corner of the Beneficiary Eligibility panel.
- All available Eligibility information will be displayed in a separate window, right click to print or save the information.
- Close the new window to return to the original view.
Initiate a New Search
If you would like to initiate an eligibility search for a different beneficiary, click the Change Beneficiary link located in ‘Select a Beneficiary’.
