Office Ally

Claims / Clearinghouses / Office Ally Office Ally – The In’s and Out’s

With Office Ally, billing and posting payments in CentralReach is free (minus one exception – see below).

Benefits of Setting up a Clearinghouse

There are two main benefits you gain when connecting your CentralReach account to a clearinghouse. The first, you can send out your claims electronically within CentralReach. No need to do this on third-party websites or portals. The second, you can receive payments, in the form of an ERA (electronic remittance advice), directly in your CentralReach account. You can then view, observe, notate, reconcile and ultimately post payments instantly with the click of a button.

Connecting CentralReach to Office Ally

In order to link Office Ally to your CentralReach account, you will need to obtain an SFTP username and password. This needs to be specifically requested. Upon account creation, Office Ally will give you a username and password – however, this is used to access their website. Usually, the SFTP username is identical to the original but the SFTP password will consist of numbers and letters totaling 8-12 characters. CentralReach will also need your company Tax ID in order to complete the connection. This is usually set up during practice management implementation. If you choose to set up a gateway after implementation is complete, please reach out to your Customer Success Manager via a Support Ticket and be sure to provide the aforementioned information.

277/999 Files

When setting up your account with Office Ally, be sure to have them turn on 277/999 files.

EDI 277 is used by healthcare payors to report on the status of claims previously submitted by providers. Information provided in a 277 transaction generally indicates where the claim is in the process, either as pending or finalized. If finalized, the transaction indicates the disposition of the claim – rejected, denied, approved for payment, paid.

EDI 999 is a transaction set that is used to confirm that a file or claim was received. It also includes additional information about whether the received transaction had errors. Having these turned on allows for seamless communication between CentralReach and Office Ally.

Charges

Office Ally is a free service. However, if 50% or more of your claims are being sent to Non-Par(participating) payors, or the payors listed here, Office Ally will charge you a monthly flat rate of $35.00, effective October 1st, 2018.

On February 1, 2019, the $35.00 Non-Par processing fee will be calculated and charged per unique Tax ID + Rendering NPI combination. If there is no rendering NPI, Billing NPI will be used

  • For each unique Tax ID + Rendering NPI combination with a claim volume of 50% or more to Non-Par payors in a month, the $35.00 will be charged for that unique Tax ID + rendering NPI for that month

CentralReach will charge .20 per claim. A single claim can contain up to 50 service lines.

*Please note that although Office Ally is a free service, they require a signed agreement (which can be canceled at any time).

How to tell if it’s a Non-Par Payor

If your payor isn’t listed above or perhaps it’s a sub-plan of one of the above, you can always check Office Ally’s website to verify if it is or is not a Non-Par Payor.

  1. Visit the Resource Center and click on Payer Lists
  2. From here, click Professional & Institutional
  3. Next, search for your payor by name or Payor ID. The TYP column indicates the payor type – Commercial/Par vs. Non-Par

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