NOTICE – New Medicare Numbers & Cards

Social Security Numbers are being removed from Medicare cards, including Railroad Retirement, to prevent fraud, fight identity theft, and keep taxpayer dollars safe.

Medicare patients in the Midwest (Nebraska, Iowa, Kansas North and South Dakota) will receive new Medicare Beneficiary Identifier (MBI) numbers & cards beginning in June 2018.   Those beneficiaries that are enrolling in Medicare for the first time will be enrolled with the new format beginning in April.  The current Medicare number and the new Medicare number will both be accepted until January 2020.

Lutz recommends that providers review and test their software system to ensure a smooth transition to the new numbers and new format. The new MBI will be a non-intelligent unique identifier, 11 positions, and positions 2, 5, 8 & 9 will always be alphabetic. An example is 1FH6TR4MK85. Position definitions are defined below.


Position 1 – numeric values 1 thru 9

Position 2 – alphabetic values A thru Z (minus S, L, O, I,  B, Z)

Position 3 – alpha-numeric values 0 thru 9 and A thru Z (minus S, L, O, I, B, Z)

Position 4 – numeric values 0 thru 9

Position 5 – alphabetic values A thru Z (minus S, L, O, I, B, Z)

Position 6 – alpha-numeric values 0 thru 9 and A thru Z (minus S, L, O, I, B, Z)

Position 7 – numeric values 0 thru 9

Position 8 – alphabetic values A thru Z (minus S, L, O, I, B, Z)

Position 9 – alphabetic values A thru Z (minus S, L, O, I, B, Z)

Position 10 – numeric values 0 thru 9

Position 11 – numeric values 0 thru 9


The Railroad Retirement Board will look the same as all other Medicare cards with the new format.   Staff will need to look for “Railroad Retirement Board” at the bottom of the card.



Have You Started Implementing the New Lease Standard?

Many companies are running behind schedule in terms of implementing the updated accounting standard on leases. It goes into effect in 2019 for public companies and 2020 for private ones. This article explains why many companies are feeling flustered by 1) the unexpected volume of information needed to comply with the changes, 2) the lack of automated software options, and 3) ongoing revisions by the FASB…

read more

Reporting for Business Segments

The FASB is looking for public companies to participate in its study about the prospects of improving the guidance for aggregating business segments and the reportable segments process. This article explains investors’ concerns about the existing guidance and highlights two possible alternatives the FASB is considering to address these concerns…

read more

Loan Losses: It’s Time to Sync the FASB and SEC Guidance

SEC officials plan to update the interpretive guidance for estimating loan loss allowances to reflect the FASB’s updated credit loss standard, which goes into effect in 2020. The credit loss standard overhauls how banks and other financial businesses estimate the losses they expect to feel on souring loans and other financial products. This article explains what’s changing…

read more


We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © 2018 Lutz & Company, PC


13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800


747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154


403 Lexington Circle

Grand Island, NE 68803

P: 308.384.9910


601 P Street, Suite 103

Lincoln, NE 68508

P: 531.500.2000


2722 S Locust Street

Grand Island, NE 68801

P: 308.382.7850