for all providers

Episode Alert is your premier CMS network service vendor for all healthcare providers. Our solutions include Medicare eligibility, electronic claim submission, DDE access, our fast same or similar checker and more.


Medicare Eligibility

Verify your referral - patient in seconds

Check your patients Medicare eligibility enrollment securely in seconds with Episode Alerts web-based verification system. No matter if you need to run individual checks or large batches, we have you covered.

Our real-time eligibity checker will provide you with all of your Medicare beneficiaries information. Allowing you to identify if the patient is active or inactive for Medicare Part A, Medicare Part B, Part C, and Part D, along with HMO and their deductibles.

We will provide you with a detailed report of your Medicare beneficiaries Medicare coverage, which will include Medicare advantage plans, QMB status, Skilled nursing facility stays, and secondary payer information.

Same or Similar

Check beneficiaries SNS status in seconds

Let Episode Alert do the hard work for you. Start checking your beneficiaries same and similar status today to ensure Medicare payment for covered services.

We provide the most comprehensive DME report on the market, ensuring your Medicare Reimbursement.

Medicare DDE

Affordable access to the CMS System

Episode Alert provides the fastest and most secure connection to Medicare's DDE/FISS system. Connect to all MAC jurisdiction's through our easy to use system.

The Medicare DDE system will allow you direct access to understanding your patient‘s current Medicare health insurance.

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Claims & Remits

Verify your referral - patient in seconds

Electronic Medicare claims submission has never been easier with Episode Alert. Stop overpaying to send your electronic claims securely to CMS and receive your remits ensuring your Medicare payment.

Typically when billing Medicare Part A (skilled home health, hospice, skilled nursing facility, inpatient hospital) and Medicare Part B (outpatient, ambulance services, medical supplies, preventive services, and equipment) it will take 30 days on average for a claim to be processed.

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CMS approved Network Service Vendor

Episode Alert is an approved NSV since 2007

Nationally approved by all MAC jurisdictions and Medicare providers. Rest easy knowing Episode Alert has you covered. We strive to be a leader in the Healthcare industry.

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No Contracts

With Episode Alert you never have to worry about contracts, setup fee's or hidden costs.

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24 / 7 Access

Day or Night you will have instant Medicare access through your PC, laptop, and smartphone.

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In All 50 States

Approved CMS connection for all MAC's & Medicare healthcare providers, in all 50 states.

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HIPAA Compliant

Episode Alert solutions are fully compliant with CMS, Medicare, and HIPAA requirements.

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Fast Support

Friendly customer service. Any questions? Need a demo?
Call us at 1 (800) 905-0698

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No Setup

There is no extra software to install, just use your PC, laptop or smartphone. Compatible with all major browsers.

 "...They are always eager to help..."

"Since we began using Episode Alert the service has been excellent. All the information we need is readily available. They are always eager to help you with any problems that you might have. I would recommend them to anyone that needs their service."

Gail Hicks
Evergreen Home Care

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 "...service to be very user friendly and reliable..."

"I am currently using Episode Alert to check eligibility for our Medicare clients and I also upload my claims through their on-line portal. I have found their service to be very user friendly and reliable. I have had no problems with claims transmission, eligibility or receiving my reports back from Medicare."

Gail Boucher, Office Manager
Visiting Nurse Home Care & Hospice of Carroll Cty.

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 " my surprise and delight that their services were as truthful..."

"With Episode Alert, our users find it so convenient, easy, fast & simple to check eligibility. We can do multiple searches which is really a big help & able to see all the informations which is very important in checking the patients' eligibility."

Shawnee Bernabe, Office Manager/Biller
First Choice Health Services, Inc

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 "by far the best ... verification tool"

"Episode Alert is by far the best eligibility verification tool our agency has used. Since implementing Episode Alert's eligibility verification tool, our intake process has been more streamlined, with all essential insurance information in an easy-to-read format which intake and billing personnel love."

Christopher Melley
CEO, Preferred Care Home Health Services

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 "...Episode Alert has been a tremendous help in getting us set up..."

"Episode Alert has been a tremendous help in getting us set up for our batch billing. The ease of sending our reports has helped us with our ability to bill and we have spent less time in preparation. We would highly recommend Episode Alert."

Suzy Tribby, Assistant Administrator
Edgar County Public Health Department

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 "Episode Alert reports are real time savers"

"Episode Alert reports are real time savers. The entire Episode Alert report suite reduces the FTE time spent researching, checking, following up as corrections are already identified in the reports. Especially important to my billing department is the that Episode Alert finds mistakes after the initial certification check but before first billing - errors that normally wouldn't be found until after initial billing."

Nashica Wilkinson
Billing Manager, Nurse on Call Florida

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 "...extremely user friendly, the ease of transmitting claims..."

"It was to my surprise and delight that their services were as truthful and forthcoming with all they had presented themselves to be and more. Besides being extremely user friendly, the ease of transmitting claims, receive information has made work for my staff an easy task, not to mention the courteous and timely response of their personnel in all aspects. I look forward to many years of a mutually beneficial business association and anticipate their potential expansion into areas of commercial claim transmissions."

RuthAnn P. Kirschen, CEO/CFO
Priority 1 Med Systems, Inc

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 "...a company with the values and integrity that Episode Alert possesses and practices..."

"It is refreshing that in today's day and age with so many vendors looking to keep their hands in your pocket and drain you for every dime they can, to deal with a company with the values and integrity that Episode Alert possesses and practices. It is my pleasure to have a working relationship with a company that is not only honest but has values that benefit and serve their clients."

Priority 1 Med Systems, Inc

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 "...wonderful, easy and helpful tool..."

"Episode Alert has been extremely beneficial to all of us at Omni Home Care.... This has been a wonderful, easy and helpful tool and I would encourage all providers to use it."

Joyce Wilson
RN, VP Operations, OMNI Home Care

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 "...customer service has been friendly and reliable"

"Just wanted to take a minute to thank you. Episode Alert has been a single solution. .. has greatly enhanced our ability to bill timely, enhanced collections and reduced (in multiple ways) the time spent on troublesome claims. THANKS! I am not sure how else to express our appreciation for Episode Alert that has been such a great help to me and my billing team."

Sandy Schiffauer
RN, BSN, MS, VP of Operations, Atlantic/Midwest , OMNI Home Care

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 "Episode Alert keeps making money for me"

"Every other vendor I know takes my money, Episode Alert keeps making money for me."

Brandon Blake
CFO, Hospital Without Walls

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 "...Highly recommend you try it..."

"Episode Alert has saved us time and money. We can verify patient eligibility quicker, [with] less paper work and more accuracy, [includes] dates of service with other providers. Highly recommend you try it as you can do it any time any place."

Ysabel Llanes
MS, CMHC, Administrator,Total Home Health Care, Inc.

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