Sample Medicare Summary Notice (MSN) - TopQuestion 3 of 8 (use "Last" or "Next" buttons to see more) Last Update: April 22, 2008
Below is a sample of the top portion of a Medicare Summary Notice (MSN) with explanations of the information you will find in each section. The top portion of the MSN is the same for both Part A and B services.
Remember that the MSN is not a bill. Do not send money to anyone in response to the MSN.
- Date: Date MSN is sent.
- Customer Service Information: Who to contact with MSN
questions. Give your Medicare number (3), date of the MSN (1),
and date of service you have a question about (9).
- Medicare Number: The number on your Medicare card.
- Name and Address: If incorrect, contact the Social Security Administration at 1-800-772-1213 immediately. If you have
Railroad Retirement Board benefits, call your local RRB office or
1-800-808-0772.
- Be Informed: Messages about ways to protect yourself and
Medicare from fraud and abuse.
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