Staff

✅ Medicare & Medicaid Eligibility Checker

Real-time benefit verification
Patient Information
Verification Request
📋 Benefit Reference
Medicare Hospice Benefit Requirements
  • Patient enrolled in Medicare Part A
  • Physician certifies terminal illness (6-month prognosis)
  • Patient elects hospice benefit (waives curative treatment for terminal dx)
  • Initial election period: 90 days × 2, then unlimited 60-day periods
  • NOE must be filed within 5 calendar days of election
Medicare Home Health Requirements
  • Patient enrolled in Medicare Part A or B
  • Homebound status documented
  • Skilled care need (RN, PT, OT, SLP)
  • Physician order (Plan of Care / CMS-485)
  • Agency is Medicare-certified
MBI Format
New Medicare Beneficiary ID: 11 characters
Format: 1XX9-XX9-XX99 (no SSN-based IDs after 2018)
🕒 Verification History
PatientBenefitDateResult
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