SEPAnalyzer helps agencies and FMOs standardize SEP eligibility reviews using MARx data, transparent rule-based logic, confidence indicators, and audit-ready reasoning.
Eligibility Assessment
Eligible
SEP
MCD / Dual
Plan
Allowed
ZIP
Verified
Reasoning
Verification
Confirm current Medicaid level (QMB / SLMB / FBDE) with the carrier.
Audit-ready · Session-scoped
06/12/2026 14:32Designed alongside licensed Medicare agents, agencies, and compliance professionals
Live data integrations
Data sourced from official systems · attribution does not imply endorsement
For Agencies, FMOs & Compliance
SEPAnalyzer helps Medicare organizations reduce enrollment errors, standardize SEP reviews, and create audit-ready documentation without replacing agent judgment or CMS verification.
For Agency Owners
For FMOs
For Compliance Teams
Why Organizations Use SEPAnalyzer
Faster enrollment reviews
More consistent SEP evaluations
Reduced compliance risk
Improved agent productivity
Better documentation
Stronger quality assurance processes
Important Compliance Notice
SEPAnalyzer is a decision-support platform designed to assist licensed agents, agencies, FMOs, and compliance teams. The platform does not determine Medicare eligibility, approve enrollments, or replace CMS, carrier, or organizational verification requirements. Final enrollment decisions remain the responsibility of the licensed agent and submitting organization.
Capabilities
Built around CMS rule sets, updated for DST grace windows, C-SNP requirements, and plan-type restrictions.
Automatically evaluates Dual, LIS, OEP, DST, and 5-Star SEP scenarios from MARx data.
Provides rule-based SEP recommendations in under one second.
Flags OEP conflicts, 60-day grace window issues, and active MA plan requirements.
Validates beneficiary ZIP information and flags geographic inconsistencies before submission.
Displays chronic-condition verification reminders when applicable.
Returns parsed data, rule logic, confidence indicators, and reasoning trail for internal review.
Process
Secure, session-based access. Your MARx data never leaves the request — nothing is stored.
Copy the raw text output from the CMS MARx portal and paste it directly into the analyzer.
Choose the target plan type (MA, MAPD, PDP) and enter the beneficiary's ZIP code.
Get a clear Eligible / Not Eligible / Conditional recommendation with the full reasoning chain.
Sample Output
See exactly what your agents receive after running an analysis — parsed beneficiary data, evaluated SEP pathways, confidence indicator, missing-information prompts, full rule reasoning, and the compliance disclaimer.
Eligibility Assessment
Eligible
SEP
MCD / Dual SEP
Plan
Allowed
As-of
06/12/2026
Beneficiary
Reasoning
Verification Prompts
Generated 06/12/2026 14:32 · Audit-ready reasoning trail · Session-scoped
FEMADST data · OpenFEMADecision-support only. Final eligibility verification remains the responsibility of the licensed agent, agency, FMO, compliance team, and receiving carrier.
Compliance
SEPAnalyzer is a decision-support tool. It does not enroll beneficiaries, submit applications, approve eligibility, bind CMS, or replace carrier verification. Final eligibility confirmation remains the responsibility of the licensed agent, agency, FMO, compliance team, and receiving carrier.
No beneficiary records stored
Session-scoped processing
Transparent rule logic
Human review required
CMS and carrier systems remain final authority
Audit-ready reasoning output
Buyers
Reduce preventable enrollment errors and improve agent consistency.
Standardize SEP workflows across downline agencies.
Review decision logic and audit trails before problems escalate.
Get faster guidance while keeping final responsibility where it belongs.
About
SEPAnalyzer helps agencies, FMOs, and compliance teams reduce SEP guesswork by turning MARx data into transparent eligibility recommendations, missing-information prompts, and audit-ready reasoning.
No black-box decisions. No stored beneficiary records. Just transparent decision-support logic for Medicare enrollment workflows.
Medicare SEP Analyzer
See how SEPAnalyzer fits into your agency or FMO workflow. We'll walk through a live MARx assessment, audit reasoning, and compliance positioning.
SEPAnalyzer provides administrative decision-support guidance based on user-supplied MARx information and configured CMS business rules. Results are informational only and do not guarantee Medicare eligibility, election rights, enrollment approval, carrier acceptance, or CMS determination. Final verification remains the responsibility of the licensed agent, agency, FMO, compliance team, submitting organization, and receiving carrier.