Making Medicare
for all providers

Easily verify referral/patient in seconds.

Easily verify referral/patient in seconds. Get CWF screens and comprehensive EDI reports.

Use our Batch mode to check your entire census at once. Summary Log allows staff to quickly find any previous eligibility check or to do a simple 1-click re-verification.

Report includes corrected Patient's name, Medicare#, sex, DOB, DOD, address, Part A/B coverage/deductibles, Home Health Benefits.

Report also includes PPS periods, MSP Periods, HMO Periods, Hospice Periods, Hospice Periods, Hospital & SNF information. All include contact info.

Sending claims is as easy as 1,2,3. We are compatible with all Billing Software, including CMS' free software, PC-ACE Pro32.

New to Medicare? We will help you every step of the way.

We Automatically verify your Claim's Physicians are PECOS enrolled in Real-Time. This way you can Avoid Ordering Physicians Denials and fix your claim's upfront.

We Automatically verify your Claim's Physicians are PECOS enrolled in Real-Time. This way you can Avoid Ordering Physicians Denials and fix your claim's upfront.

We Automatically verify your Claim's Physicians are PECOS enrolled in Real-Time. This way you can Avoid Ordering Physicians Denials and fix your claim's upfront.

We Automatically let you know that a claim rejection has occur in the run log. Automatically send you email alerts as claim rejections occur. Automatically translate your 277/999 Claim Responses.

We Automatically let you know that a claim rejection has occur in the run log. Automatically sends you an email alert as claim rejections occur. Automatically translates your 277/999 Claim Responses.

The Direct Data Entry (DDE) Access is an integral part of the Fiscal Intermediary Standard System (FISS) to give Medicare providers a direct access mechanism for answering questions about their claims.

Affordable access to DDE/FISS (Part A, Home Health & Hospice), PPTN (Part B), CSI/BE (DME). For all MACs & Jurisdictions, including Palmetto GBA, NGS, CGS, Noridian, NHIC, Cahaba, FCSO, Novita, RHHI and DME.

DDE users can Submit UB-04 claims; Correct, adjust, and cancel claims; perform inquiries such as beneficiary eligibility, claims history, revenue codes, diagnosis codes, etc;

A common concern with new customers is whether our DDE system differs from their previous vendor. No, it does not all vendors connect you to the same CMS System.

Submit UB-04 claims options

CMS experts say that entering your claim data directly to CMS system is 1 day faster, compared to sending electronic claims.

In this screen you can view your claim status, to see if they need corrections and when they will get paid.

View information about your latest remits and their amounts.

Try out Smart DDE for 60 days no obligation.

Included features of Smart DDE: Summary reports/ Email Alerts which will alert you to Denied, Rejected, RTP, Canceled, Suspended, Paid claims or overlapping coverage.

Smart DDE: Alerts you when Claims are sent with incorrect beneficiary information, Hover over Reason Codes to automatically get their narrative, Click on the Patient Name or HIC # to get Patient Eligibility Verification. 60 day Free Trial Included! No obligation.

Episode Alert is NSV (Network Service Vendor) across all 50 states for all Medicare Part A, Part B, Home Health, Hospice and DME healthcare providers. We work with all MACS nationally, including Palmetto, NGS, CGS, Cahaba, Noridian, Novitas, First Coast.