Easy Web-based Medicare ID Checker

Medicare Access will never be easier

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HIPAA Compliant

Episode Alert's Medicare verification web-based provider portal offers providers with a secure way to verify medicare eligibility and benefits in real-time.

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Stop Wasting Time

No longer will you have to make unnecessary calls to Medicare's IVR or DDE's tedious and cumbersome way to check Medicare eligibility for providers.

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Live results from CMS

With us, you will get a fast, comprehensive report on your patient's eligibility status straight from the CMS's secure eligibility HETS database (HIPAA Eligibility Transaction System).

How to check Medicare eligibility

Use our simple to use form to verify patient eligibility

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1. Click Check patient Button

Before I dive into the meaning of everything you see here, you will need to first check a patient's eligibility. To do that simply click on the check patient button.

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2. Enter Patient Info

As you can clearly see we try to make things as simple as possible. Simply enter your patients Medicare number or if your patient has received there new MBI number you can enter that. Either one is fine for the time being. After that go ahead and enter your patient's Name, Date of birth and gender.

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3. View your Full Report

With us, you will get a fast, comprehensive report on your patient's eligibility status straight from the CMS's secure eligibility HETS database (HIPAA Eligibility Transaction System).

Medicare Eligibility BatchMode

Check Medicare Eligibility using a spreadsheet

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1. Import multiple patients

BatchMode which will allow you to import an excel sheet of multiple patients. Easily check and recheck patients & beneficiaries in one go.

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2. Easy to use format

Copy-paste your patient/beneficiary data from an excel sheet or Google sheet and that's it! You can also Export results.

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3. One click SNS check

Now you can batch check patient's SNS in one click. We will only check the SNS for patients who are Part B active, no active HMO, PPO and have no active hospice episodes.

Medicare Eligibility Verification

Quickly and easily verify patients Medicare coverage.

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Part A & B, CMS Note, Patient Address

Get all your patient basic information here

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Part A & B Coverage

Corrections, Part A and B Eligibility. Columns include Patient Name, MBI, DOB, Sex, Part A Eligibility Start, Part A End, Part B Eligibility Start, Part B End, DOD

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CMS Note

CMS insured notes like OASIS, ESRD, disability,Railroad Retirement. Columns include Note Details (ex: Beneficiary insured due to age OASIS)

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Beneficiary Address

Shows the beneficiary's address per CMS

Inpatient, SNF, Hospital Stays, Part B Deductible

Find the important start dates and deductibles with ease

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Inpatient Deductible

Part A Deductible, Inpatient, SNF, Lifetime. Columns include Start Date, End Date, Part A Deductible Left Inpatient Full Days Left, Inpatient Copay Days Left, Inpatient Copay Amount, SNF Full Days Left, SNF Copayment Days Left, SNF Copay Amount, Lifetime Reserve Days Left, Lifetime Daily Copayment Amount

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SNF / Hospital Stays

Specific dates of individual Hospital/SNF stays within the complete spell. Visit Type, Stay Start Date, End Date, Billing, NPI, DOEBA, DOLBA

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Part B Deductible / Caps

Part B. Columns include Part B Year, Part B Deductible Left, Co-Insurance Amount

QMB status, Home Health, MSP

Easy to read report for all providers

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QMB Status

QMB enrollees are dually-eligible for Medicare & Medicaid. Not liable for Medicare co-insurance,co-payments,deductible payments. Columns include State, QMB Plan Start, Date End Date

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Home Health

Late Episode - Home Health / PPS Episode Periods. Columns include Start Date, End Date, NPI#, Provider Name, Provider Address, City, State, Zip, Phone#, DOEBA, DOLBA, Patient Status

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MSP

Medicare secondary payer or sometimes known as a private health insurer. This section will give you the MSP type, policy number, insurer name, address, and start and end date

Plan coverage, Part D, Hospice

Never second guess a patient's information again with our easy-to-read report

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Plan Coverage, HMO, PPO

This section will give you all the patient's HMO, PPO, includes Plan Type, Contract#, Contract Name, Plan Name, Phone #, Address, Address2, OPT, Start Date, End Date, URL

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Part D

You will find all your patient's Part D plan information here like plan ID, contact information, includes Plan Id, Part D Name, Phone #, Part D Address 1, Address 2, Start Date, End Date, URL

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Hospice

This section covers hospice periods for your patient, including Start Date, End Date, Days Used, NPI#, Hospice Name, Address City, State, Zip, Phone#, Revocation Code, Hospice Coverage

Preventative Services

Now know exactly when the eligible date for screening, test, annual wellness visits, and more

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Wellness visits & Diabetes-related services

Annual Wellness Visit, Diabetes screening includes HCPCS/Modifier, Next Eligible Date, Description, Category

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Tests & Screenings and Counseling & Therapy

Alcohol misuse screening and counseling, Intensive behavioral therapy for obesity, Medical nutrition therapy, Alcohol misuse screening and counseling, Intensive behavioral therapy for obesity, Medical nutrition therapy

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Mental Health Services & more

Depression screening, Bone Mass Measurements, Cervical Cancer Screening, Colorectal Cancer Screening Tests, Pneumococcal Shot & Administration, Prostate Cancer Screening, STI Screening & HIBC to Prevent STIs, Ultrasound AAA Screening

Therapy services, COVID Vaccination, Flu Vaccination

See all your patients / beneficiary health data in-one-place

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Therapy services

Get the amount used for both Physical & Speech Therapy and Occupational Therapy includes Therapy Type, Amount Used, Start Date, End Date

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COVID-19 Vaccination

Returns the most recent information for COVID-19 vaccination including rendering NPI includes CPT or HCPCS, Date of Service, Short Descriptor, Vaccine/Procedure Name, NPI, Provider Name, Provider Address, Provider Address2, Provider, Phone#

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Influenza (Flu) Vaccination

Returns the most recent information for Influenza (Flu) Vaccination including rendering NPI includes CPT or HCPCS, Date of Service, Short Descriptor, Vaccine/Procedure Name, NPI#, Provider Name, Provider Address, Provider Address2, Provider, Phone#

Any questions? Check out the FAQ

Let us answer any questions you may have

Yes, we receive all information directly from the CMS HETS system in real-time.

Yes, BatchMode is available with all plans that include Medicare Eligibility.

Yes, we cover all preventative services such as lab tests, flu shots, health screenings, COVID vaccines, therapy services, and more.

Our starter plan for eligibity will be $38 per month and give you access to 100 checks per month. We do allow all customers to upgrade and downgrade anytime to fit their needs.

No, you can have as many users as needed to run eligibility checks.

Why choose Episode Alert’s Medicare eligibility checker?

Some of the reasons we are the best choice

Real-time fast benefit information results straight from CMS (Centers for Medicare & Medicaid Services)


One-click downloadable full PDF reports of patient Eligibility Verification


Easily identify Primary payer’s and the Medicare secondary payer


Spell Information for Home Health and Skilled Nursing Facilities


Hospice Episode information and dates


Run large Batches of patients easily and quickly with Eligibility BatchMode


Streamline enrollment for your patients with our seamless medicare eligibility checking service


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Medicare Eligibility sample report

Verify Medicare eligibility and benefits in seconds

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