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REGISTRATION FORM Company: Address: City: Zip:MBI Regional Membership MeetingsState: Phone:Please copy for additional registrants if needed Name:Title:Email: Name:Title:Email: Name:Title:Email: Name:Title:Email:
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MBI Regional stands for Medicare Beneficiary Identifier Regional. It is a tool used to identify Medicare beneficiaries in specific regions.
Healthcare providers and organizations that provide services to Medicare beneficiaries are required to file MBI Regional.
MBI Regional can be filled out electronically through the Medicare Administrative Contractor (MAC) portal.
The purpose of MBI Regional is to accurately identify Medicare beneficiaries and ensure proper billing and payment for services provided.
Basic beneficiary information such as name, date of birth, Medicare Beneficiary Identifier (MBI), and services provided must be reported on MBI Regional.
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