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www.CheckMedicare.com Help and FAQ.

Question #1: How much does the service cost?
Answer: The service cost is $0.25 (US$) per transaction (1 transaction = 1 eligibility check). The minimum purchase amount is $25.00 for 100 transactions. You may purchase as many transactions as you like. A running balance of the number of transactions is maintained in your account. This balance is available for you to view at any time on the "Check Eligibility" page and the "Account Status" page.  The transactions do not expire and unused transactions remain in your account for as long as you use the service. As you use the service, your transactions will deplete. If you have zero transactions on your account, you will be unable to check eligibility until you purchase more transactions, which you can do at any time.
Question #2: Is there a registration fee or monthly fee?
Answer: There is no monthly fee. There is no registration fee, but you must purchase the minimum denomination of transactions ($25 for 100 transactions) at the time of registration.
Question #3: Do my transactions expire?
Answer: No. Your transactions never expire, You can use this service at your discretion. If you stop using the site for six months, for example, and then decide to use the site again, all of your remaining transactions will still be available to you.
Question #4: Why do I have to fax a Medicare EOB when I sign up?
Answer: CMS requires that all users of this service must be valid Medicare providers and have a current EDI agreement with CMS. We verify this information in part by requiring a recent Medicare EOB.
Question #5: Where does CheckMedicare.com get the Medicare eligibility & benefit information from?
Answer: This service connects directly to the national central databases of CMS. It is not dependent upon a specific Medicare carrier.
Question #6: How up to date is the the Medicare eligibility & benefit information retrieved from CheckMedicare.com?
Answer: CMS ensures us that the information is updated at least every 48 hrs.
Question #7: A Medicare carrier in my area does not support electronic transmissions, can I still check eligibility and benefit status for these patients?
Answer: Yes. This service connects directly to the national central database of CMS. It is not dependent upon any specific Medicare carrier.
Question #8: I don't have all of the information I need to check eligibility. Can I check anyway or guess the information and check? Can I check eligibility even if I don't intend to treat the patient?
Answer: NO.
This service is intended for providers who wish to determine the eligibility and deductible status of Medicare patients. It also allows the provider to know if the patient has elected to enroll in a MAP/HMO carrier.

Using this service to "phish" for protected health information violates HIPAA regulations and is a breach of the terms of agreement for this service.

Any user caught phishing, will have their CheckMedicare account terminated.
CMS may revoke the violator's EDI agreement and he/she may also face legal prosecution for violating HIPAA regulations.
Question #9: Sometimes I get an error on the website. Am I charged for this error?
Answer: No. This service is created through a collaboration between CheckMedicare and CMS. We both try to maintain as much "up-time" as possible. Unfortunately, there are times when the system is down due computer malfunctions, connectivity issues, and computer maintenance. CMS also does regular maintenance on weekends, generally very early Saturday mornings. Occassionally this maintenance is extended.

If you receive an error due to one of these issues, no transaction is used and your balance remains the same.

Question #10: What is CheckMedicare.com’s refund policy?
Answer: Any unused paid clicks will be refunded upon written request. (Free clicks provided have no refund value.)

About CheckMedicare.com

We at CheckMedicare.com specialize in offering software solutions for businesses in the healthcare field. Many offices wish to computerize and take advantage of the technological revolution that is going on around us. To you we offer CheckMedicare.com, a webservice that gives providers a quick and easy way to determine eligibility, deductible, and benefits status for Medicare patients. This service serves Medicare patients nationwide, regardless of the plan or carrier company (GHI Medicare, BC Medicare, etc..)