Authorization Sheet Business Associate Agreement (All 6 pages must be returned) Summary of Changes for Business Associate Agreement (Revised 7/7/2020) EHR 24/7™ User Agreement Eligibility Verification User Agreement Practice Mate™ User Agreement Real Time Claim Status Request (276/277) User Agreement Real Time Eligibility Request (270/271) User Agreement
ERA Transfer Letter Instructions Product/Services Cancellation Recurring Auto Payment Form - Customer Authorization Registering Physical Address Letter Instructions Separate Username Request Transfer of Ownership Update Company Information/Authorized Contacts Update Printing Option
Claim Workarounds for Print Image Submitters File Submission Guide ISA/GS Header Information Office Ally 837P Companion Guide Office Ally 837I Companion Guide OA Report File Naming Convention & Proprietary Report Specs Office Ally (Service Center) User Manual SFTP Server Information Test File Submission Instructions Quick Guide for Uploading Claims Workers Compensation - File Format Specifications & Rejection Assistance
EHR 24/7™ - Backup Disk Request Form EHR 24/7™ - Guideline Request Form EHR 24/7™ - API Access Documentation
Available Checking Methods - Claim Status Requests Available Checking Methods - Eligibility Requests Companion Guide - Real Time Claim Status Request (276/277) Companion Guide - Real Time Eligibility Request (270/271) Connectivity Rule - Phase II CORE Instructions - Claim Status Request (Service Center) Instructions - Eligibility Request (Service Center) Instructions - Eligibility Verification (Practice Mate) Instructions - Eligibility Verification (EHR) Payer List - Claim Status (276/277) Payer List - Eligibility (270/271)
All of our products are internet-based programs accessed through the Office Ally website. For optimal performance of the programs, we recommend the following: INTERNET CONNECTION High-Speed internet connection via DSL, cable modem, or TI line Bandwidth to support the number of users in your office accessing the internet simultaneously INTERNET BROWSER Internet Explorer version 11 or above, with a 128-bit encryption Safari version 11.1.2 or above, with 128-bit encryption Chrome version 58+ or above, with a 128-bit encryption WINDOWS OS (PC) - NEW Windows 7, or above MAC OS MAC OS 10.11, or above iPad ADDITIONAL RECOMMENDATIONS/REQUIREMENTS An email account through the provider of your choice (required for claim notifications from Office Ally) Adobe Acrobat Reader 9 or above (for report printing, including billing statements) Microsoft Excel 2003 or above (optional for exporting reports) 7zip (optional for extracting downloadable patient charts)