Real-Time Medicare API Solutions

One connection for all your medicare needs

Episode Alert provides Real-Time Exchange of Medicare data through our secure and HIPAA-compliant APIs embedded directly into your own Software. Reduce your organization’s development and support high costs by partnering with Episode Alert to easily integrate services within your platform.

With us, you will get a fast, easy to read responses on your patient's eligibility status straight from the Medicare’s secure eligibility HETS database (HIPAA Eligibility Transaction System) and more.

Medicare API Services Available

  • Medicare Eligibility Verifications
  • Medicare Daily Claim Status
  • 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


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.


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.