Episode Alert is leading the way in innovation when it comes to filling Medicare claims for covered services. We strive to make the process as easy as possible for EDI claim submission to get your reimbursement.
When you are submitting your medicare provider claims through us, all you need to is simply click the send claims button, which will bring to our upload claim file promptly. Simply upload the claim file that you have created and you're done. After that, you will be brought back to episode alert's Medicare claims page. Here you can see all the claim files you have sent, and all the reports you have received including remits.
Claims processing while typically returning a (227/999). After you receive your Medicare claim reports (227/999) you will need to translate them to check the claim status. Episode Alert does offer a service that is included in our plans called ClaimAlert. ClaimAlert will automatically translate your claim files for you. ClaimAlert will allow you to view claim rejections more easily that way you can fix the claim rejection issues faster. Also, we will check to see if your Physician is PECOS enrolment. Saving you the time it would take to look it up manually
After you send your electronic claims to CMS (centers for medicare & Medicaid Services), the typical claims processing time is brought 30 days. In that time the Mac provider (Medicare‘s insurance company) will go through the process of determining the medicare coverage of your patients.
Medicare pays Part A claims (inpatient hospital care, inpatient skilled nursing facility care, skilled home health care, and hospice care) directly to the facility or agency
Medicare pays Part B claims (doctors’ services, outpatient hospital care, outpatient physical and speech therapy, certain home health care, ambulance services, medical supplies and equipment) either to the provider or individual.
Please remember that deductibles, copayments, and/or coinsurance must be paid by the patient.
Check your patients Medicare eligibility 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.
We automatically verify your claims before submission. This way you can avoid claim denials because of PECOS issues
Get email alerts when claim rejections occur and when you don't receive claim reports back. Straight to your mailbox, get email alerts when your claims get rejected.
Receive email alerts when Medicare doesn't send you back claim reports for your claims
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.)
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.
