Verify your patient's Medicare Eligibility quickly, easily, and inexpensively through our Medicare Eligibility Android App.
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:
Coverage Information - 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
Patient Information - Retrieve patient information including patient address based on Medicare's records.
Primary Insurance Information - Find out the primary insurance information if Medicare is the secondary payor.
Deductibles - Get the Medicare Part A Deductible and Medicare Part B Deductible amounts applied per year.
Hospital Data - Get Hospital Days Remaining and Hospital Coinsurance Days Remaining.
Skilled Nursing Facility Data - Retrieve Skilled Nursing Facility Days Remaining and Coinsurance Days Remaining.
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 Dates.
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 .
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If you have any questions, please feel free to email to: firstname.lastname@example.org.