An official website of the United States government
This page confirms that you have successfully submitted the case. The Case ID for the submitted case (hyperlinked), Beneficiary Medicare ID (Health Insurance Claim Number [HICN] or Medicare Beneficiary Identifier [MBI]), and Beneficiary Last Name are shown.
Note:The first five positions of HICNs are masked unless you are the beneficiary, or you have logged in using multi-factor authentication. Click the hyperlinked Case ID to access the Case Information page for the new case.
Click Continue to return to the Welcome! page.
Click Provide Authorization to submit an authorization for someone else to access the new case (if you are a beneficiary or an authorized beneficiary representative).
A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services.
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