Real Time Medicare Eligibility Verification
Click HERE for your 5 Free Trials!
Verify your patient's Medicare Eligibility quickly, easily, and
inexpensively through our online Medicare Eligibility System.
A great way to maximize payment and minimize errors on MedicareEligibility.com
Batch Eligibility Verification is now available. You
can send a batch of requests and receive responses as quick as a few minutes later, depending on the number of requests. Contact Cortex
EDI if interested.
What is Real Time Medicare Eligibility Verification?
Real Time Medicare Eligibility Verification is a fast and secure method to instantly
retrieve patient insurance information including:
Use Cortex EDI Real Time Medicare Eligibility Verification to get information
about services for Medicare patients. You will receive Medicare Part A and Medicare
Part B Entitlement/Term Dates
Retrieve patient information including patient address based on
Primary Insurance Information.
Find out the primary insurance information if Medicare is the
Get the Medicare Part A Deductible and Medicare Part B Deductible
amounts applied per year.
Get Hospital Days Remaining and Hospital Coinsurance Days Remaining.
Skilled Nursing Facility Data.
Retrieve Skilled Nursing Facility Days Remaining and Coinsurance
Home Health and Hospice Data.
Find out if your patient has had a Home Health Episode, or a Hospice
Episode, and the dates of those episodes. Also gives information about the Payer
for those episodes.
Medicare Part D Data (Pharmacy).
Receive patient's Pharmacy Plan Name, Contract Number, Plan Number,
Phone Number and Enrollment/Dis-enrollment Dates.
Medicare Secondary Payer and Medicare HMO Data.
If patient has Medicare Secondary, or HMO Plan, you will see the
Plan Name, Contract Number, Plan Number, Phone Number and Enrollment/Dis-enrollment
Physical, Speech, and Occupational Therapy Data.
Find out the patient's cap amount for Physical and Speech Therapy,
and Occupational Therapy.
Updated Medicare Insured ID.
Receive patient's updated (current) Medicare Insured ID when submitting
patient's old Medicare Insured ID. (Some restrictions apply, such as MBI Crosswalk)
Online system available 24 hours a day, 7 days a week.
Automated response returns in just seconds.
Available in all 50 states in the US, and US Territories.
How much does Real Time Medicare Eligibility cost?
5 Free Trial Requests.
Get a taste of the site before entering your billing information.
There is no obligation.
Just $25 per month.
Includes 100 FREE requests, and only $0.25 for each additional
request. You can cancel the service at any time.
Call Cortex EDI for more details at (800) 485-5977 or email support@CortexEDI.com.