making Medicare

easy for all providers


  • CMS Network Service Vendor
  • 10M Eligibility benefits verified
  • 8M Claims sent / RA's received
  • DDE / CSI / PPTN access available



Medicare Eligibility Verify your referral - patient in seconds


Instantly identify HMO, MSP, PPS, benefits View in depth EDI reports or CWF screens


Claims & Remits Quickly submit claims & receive remits


Securely electronically send your claim files Automatic retrieval of responses and remits


DDE / FISS / CWF Affordable access to the CMS System


Medicare provider 1-click desktop connection Part A, Part B, Home Health & Hospice and DMEs. Includes access to FISS, CWF and more.


CMS approved Network Service Vendor (NSV)


Episode Alert is an approved NSV since 2007. For all MAC jurisdictions & Medicare providers




No Contracts

There are no setup or one-time fees, setup fees, ever. Try all services for free, now.

24 / 7 Access

Day & night instant Medicare access from anywhere, anytime via smartphone, PC, laptop.

In All 50 States

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

HIPAA Compliant

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

Fast Support

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

No Setup

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



General FAQ's

The easiest and most affordable Medicare access Tool since 2007.
Over 10 Millions eligibilities verified. 8 Million claims sent. Serving all 50 states.

Episode Alert™ has been used by Medicare provider organizations of every size throughout all 50 states, Guam, the Virgin Islands and Puerto Rico.


Episode Alert is used by every type of Medicare provider including:
  • Home Health Agencies
  • Hospice Organizations
  • Hospitals
  • Pharmacies
  • Physician Practices
  • DME, Ambulance companies
  • Rehab Facilities
  • Therapist Practices
  • SNF / ALF / ILF Facilities
  • FQHC

No, you can't have as many users as you want. We do however, charge per user for DDE access.

A PC, laptop, or smartphone with access to the internet is all you need.

There’s no contract, no setup fees, you just pay as you go, and you can cancel any time without penalty.

Yes, Episode Alert is an approved Network Service Vendor (NSV) compatible with all MAC/Jurisdictions and is accessible to all Medicare providers within all 50 states, since 2007.

Yes, we are compatible with all browsers, including Chrome, Firefox, Edge, Internet Explorer, Safari.

Yes, we are compatible with all MACs (Palmetto, NGS, CGS, First Coast, Noridian, Novitas, WPS, Cahaba).

If you have any questions please call 1-800-905-0698 or send us an email.

Service Specific FAQ's

Yes, Episode Alert is approved to submit claims for all MACs (Palmetto, NGS, CGS, First Coast, Noridian, Novitas, etc.) in all 50 states.

It takes 1-2 business days to setup. After that you'll start receiving your remits & reports and will be able to submit claims.

Yes, you can use any billing software to create your claim files, including PCACE Pro32. Then just upload us to our website.

You would just need your Submitter Id. A Submitter Id is given to you by your MAC (Palmetto, NGS, CGS, First Coast, Noridian, Novitas, etc.)

You just need to have a DDE User Id from your MAC (Palmetto, NGS, CGS, First Coast, Noridian, Novitas, etc.) You use your DDE User Id to login into the DDE system.

Yes, available with all plans that include Medicare Eligibility. Easy as 1,2,3.

Yes, Episode Alert has been ready for the transition for years. Since early 2007, Episode Alert has been involved with CMS in developing HETS 270/271. Utilizing Episode Alert eligibility verification ensures your organization will automatically be ready for the transition with no interruption in operations.

No, Episode Alert is simply your connection to that same familiar CMS System login screen. All vendors give you access to the same system, including Episode Alert.

Please feel free to submit a support request and we’ll be happy to respond if you ever have any questions about any of the Episode Alert™ solutions or even about the sign up process itself.




 "...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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 "...to 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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