Medicare Eligibility Rest API

Fast integration into your Healthcare software within hours

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Medicare API

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.

Translated automatically to XML

No need to understand complicated X12

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Simple Guide included

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.

Results include

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, and Home Health.

and more!

Results also include Hospice, nursing homes, DOD, QMB Status, Beneficiary information, etc...) and be integrated into your software in just a couple of hours.

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


Easy to use

Pretty straight forward REST API Post calls


Be Up & Running

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


Fast Technical Support

Our highly trained technical experts are available 24/7 365



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

Any questions? Check out the FAQ

Let us answer any questions you may have

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

Yes, you will be able to view reason codes.

Yes, you have full control over the final product on your end.

Of course, we will help you every step of the way.

There is a one-time setup fee, other than that cost there are no other fees.

Of course, you can customize the plan to fit your exact needs. You can upgrade or downgrade anytime.
Instant Medicare Access

Try our risk-free 14-day free trial now!

14-day trial