FAQs

  1. How do I enroll / sign up with Office Ally?
  2. How long does it take to get setup / start submitting claims after Office Ally receives my enrollment form?
  3. Do I have to sign a contract?
  4. Do I need to purchase software?
  5. Do I need high-speed Internet access?
  6. How do I send claims to Office Ally?
  7. What formats do you accept?
  8. What if my software isn't HIPAA compliant?
  9. Is my software compatible?
  10. What if I have no billing software?
  11. What are the set-up fees, monthly fees, and per-claim fees?
  12. If there are no fees, how do you stay in business?
  13. What insurance companies am I able to send to electronically?
  14. How do I pre-enroll for insurance companies that require pre-enrollment?
  15. How do I get set-up for Medicare, Medi-Cal, and CHAMPUS?
  16. How long does the pre-enrollment process take?
  17. What tools and features are available on officeally.com?
  18. Are you HIPAA compliant?
  19. Do I have to submit in a HIPAA compliant format?

Q: How do I enroll / sign up with Office Ally?
A: To enroll with Office Ally, fill out our Online Enrollment Form . After you have completed the enrollment form, there is a Provider Authorization Signature Page and the Business Associate Agreement that must be printed, signed, and faxed to us at (360) 314-2184.
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Q:How long does it take to get setup / start submitting claims after Office Ally receives my enrollment form?
A: Once we receive the enrollment form you will have a user name and password for our website. Also, one of our enrollment specialists will contact you to set up an appointment with one of our technical staff. It is usually within 48 hours after filling out the enrollment form.
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Q: Do I have to sign a contract?
A: No, Office Ally has an enrollment form, not a contract. Try out our service, if you do not like the service, you are free to stop using the website.
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Q: Do I need to purchase software?
A: No, the Office Ally website will interface with all practice management software packages. All you need is Internet access. Back to top

Q: Do I need high-speed Internet access?
A: No, we have many customers who effectively use our website with dial-up Internet access.
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Q: How do I send claims to Office Ally?
A: Most of our users send claims to us as follows:
1) Create a claim file using your current billing software
2) Log into www.officeally.com and click, "Upload HCFA 1500"
3) Click, "Select File"
4) Find your file and click, "Open"
5) Click, "Upload"
Office Ally also supports FTP transfers and offers an online entry tool. We will walk you through this process step-by-step during your setup appointment.
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Q: What formats do you accept? What if my software isn't HIPAA compliant?
A: We do accept the HIPAA compliant ANSI 837 format. However, if your software does not produce this format, we also accept text files, (print-image files) and NSF format. We convert your claims to the HIPAA required ANSI 837 format before they are sent to the insurance companies. There is no need to upgrade or purchase new software!
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Q: Is my software compatible?
A: Our ability to accept a print-image files means that we are compatible with nearly every practice management system. Essentially, if your software allows you to print claims in your office, you can send claims to Office Ally.
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Q: What if I have no billing software?
A: Office Ally offers Practice Mate - a FREE web-based complete practice management system. Accessed via the Office Ally website, your practice information is available to you 24 hours a day, 7 days a week. All you need is internet connectivity. Easy to learn and use, we have incorporated into our program all the elements needed for successfully managing your practice. We also offer a free, online entry tool for providers who don't need a full practice management system. This tool allows you access to a blank, electronic HCFA on our website. You type data into it the same way you would a paper HCFA. Additionally, this tool allows you to store patient, facility and provider information so you do not have to re-type the same information.
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Q: What are the set-up fees, monthly fees, and per-claim fees?
A: There are no set-up fees, monthly fees or per-claim fees for electronic claims submission! We are essentially a free clearing house. An optional printing service is available to our users; for $0.40 per claim we will print and mail any HCFAs that cannot be sent electronically (i.e. the insurance company is not on our payer list or your pre-enrollment is not completed for that insurance company). This printing service is optional - you select whether you would like this feature or not.   The only exception to this is users who send us primarily Governmental claims (i.e. Medicare, Medicaid/Medi-Cal, Blue Cross/Blue Shield of some states). If more than 50% of your monthly claim volume is made up of those payers (indicated by a "G" in the Type column of our Payer List), then the service is a flat fee of $19.95 per month plus any printing charges, if applicable. There are no fees for customer service or technical support, which is available 24 hours a day, 7 days a week.
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Q: If there are no fees, how do you stay in business?
A: We, like all clearinghouses, are reimbursed by the insurance companies. However, unlike most other clearinghouses, Office Ally elects not to charge the provider.
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Q: What insurance companies am I able to send to electronically?
A: By enrolling with Office Ally, you are automatically set-up to send to all payers on our Payer List except those with a "Y" in the column to the right titled ENR. Those payers require you to go through a pre-enrollment process before we can send your claims electronically to them.
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Q: How do I pre-enroll for insurance companies that require pre-enrollment?
A: To get started on the pre-enrollment for those payers who require pre-enrollment, go to Payer Enrollment Forms page within the Resource Center on our web site.  Find the state and respective insurance company that you need to pre-enroll with.  Click on the link and follow the instructions provided and complete all required forms referenced in the instructions. There is no cost for pre-enrollment.
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Q: How do I get set-up for Medicare, Medi-Cal, and CHAMPUS?
A: These payers require paperwork before we can electronically submit claims for you. These forms have very specific instructions that must be followed exactly. All of these forms require the provider's original signature - faxed copies are not accepted. The completed forms must be mailed either to Office Ally, or to the payer, (depending on the form) and then we must wait for an approval letter from the payer. Please contact us if you have any questions about these forms.
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Q: How long does the pre-enrollment process take?
A: Pre-enrollment for most commercial payers is usually complete within one week. Pre-enrollment for Medicare, Medi-Cal, and CHAMPUS/TriWest varies from 1 to 6 weeks.
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Q: What tools and features are available on officeally.com?
A: Office Ally offers many features to our users including tools for tracking claims, running reports based on your own specifications, checking eligibility, verifying codes (ICD9, POS, Modifiers), fixing claims right on our website, entering claims online, and sending attachments electronically. We are continually adding new features and upgrading existing services to meet your EDI needs and best of all, it's all free to you as an Office Ally user.
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Q: Are you HIPAA compliant?
A: Yes, we are certified HIPAA compliant. The Trading Partner's Agreement details the HIPAA policies and procedures we follow to protect your private health information as well the security measures used in our computer systems to ensure privacy.
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Q: Do I have to submit in a HIPAA compliant format?
A: No, the law allows providers to submit in a non-HIPAA compliant format to a clearinghouse. The clearinghouse must convert the claims into the 837 HIPAA compliant format prior to transmission to the insurance company. It is against the law for a provider to submit directly to an insurance company in a non-compliant format.
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