Medicare Eligibility Rest API

Fast integration into your Healthcare software within hours

Episode Alert provides Real-Time Exchange of Medicare eligibility / verification data through our secure and HIPAA-compliant APIs embedded directly into your healthcare system software straight from (centers for Medicare & Medicaid services).

The Problem: We understand how difficult it can be to read and understand CMS' X12 language. You end up spending hours reading over long, confusing guides that provide more questions than answers when dealing with datasets, data exchange.

The Solution: Episode Alert has found a solution to your problem. Our Medicare API solution has the functionality that will translate that confusing X12 language responses to an easier readable XML format. With this format, any healthcare provider will be able to understand the information.

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basic beneficary xml infomation
check medicare eligibility summary log
Xml part a coverage example

Translated automatically to XML

No need to understand complicated X12

We provide you with a simple guide that will give you all the answers you need. This guide is straight to the point and gives you every detail on how to read the XML Medicare response format from start to finish.

Read the results easy This way you can easily read the Medicare beneficiaries Medicare eligibility sections (Part A/B Coverage, Part D, Deductibles, HMO/Medicare Advantage plans, Home Health, Hospice, nursing homes, DOD, QMB Status, Beneficiary information, etc...) and be integrated into your software in just a couple of hours.

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Medicare Providers API Services Available

  • Medicare Eligibility Verifications
  • Medicare Daily Claim Status (our claims data API)
  • Medicare Claim Submission & Remits Retrieval
  • PECOS Enrollment verification
  • NPI Directory Lookup

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    Easy to use

    Pretty straight forward REST API Post calls

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    Be Up & Running

    We will give you access quickly and sample API calls and reponses

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    Fast Technical Support

    Our highly trained technical experts are available 24/7 365

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    Very Affordable

    Fixed cost, have the ability to downgrade or upgrade your monthly plans as your business grows


Service Specific FAQ's


Our API service is not like many others, we can have you up and running in a matter of hours.


No, we pride ourselves on transparency and the price you see is what you pay.


Yes, we give you the ability to upgrade and downgrade at any time to fit your current needs.


Check out our pricing page and sign up for your 14-day free trial.