EHR 24/7 DATA SHEET

1. PROTECTED HEALTH INFORMATION

Any exchange of Protected Health Information pursuant to services provided by Office Ally shall be governed by a Business Associate Agreement mutually executed by Office Ally and the User.  In the event no Business Associate Agreement mutually is in effect between Office Ally and the User, the terms and conditions of Office Ally’s standard Business Associate Agreement shall apply, a copy of which is available upon request.

2. DEFINITIONS

Transactions:  A Transaction consists of a request and the corresponding response. A “Successful Transaction” is any Transaction which is not a Failed Transaction. A “Failed Transaction” is defined as a request unanswered by the Receiver (time-out waiting for a response) or a message from the Receiver in response to the request indicating that the Receiver’s systems are down and cannot respond to the request at this time (i.e., request can be received but the mainframe needed to process the Transaction is not available). 

‍Eligibility & Benefits Inquiry Request:  This transaction allows a provider to submit an electronic request for verification of a patient's eligibility and selected benefit information (270) and receive a response (271) response from the payer system verifying eligibility. This response also allows for benefit details if available.

Submitter:  Submitter means the party to the agreement that sends the EDI Transactions to Office Ally, the receiver. 

‍Receiver: Receiver means Office Ally who receives the transactions from the Submitter.

3. FEES FOR SERVICE

Fees for the services of this Data Sheet shall be $4 monthly per Provider, Nurse Practitioner, and Physician Assistant. Account disruption due to nonpayment is not to be considered the cancellation of EHR 24/7 and is independent of the following cancellation of services policy.
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ELIGIBILITY AND BENEFITS (270/271)
Each Account will incur charges of ten dollars ($10.00) for 1-100 (one through one hundred) transactions and any additional transactions will be ($0.10) per transaction within a given month. Example if you process 101 transactions in a given month the cost will be $10.10.

PASS THROUGH FEES
Office Ally, the Receiver, may pass through any third-party fees, without markup, associated with any Transactions to the Submitter. This includes UHIN Pass Through Fees.

4. CANCELLATION OF SERVICES

If User wishes to cancel this service they must complete the product cancellation form, which form is available upon request. User shall not consider the cancellation complete until the time that it has received an email confirmation to the email address on the account. Cancellation can only be requested by the Office Ally account owner. No refunds will be issued for mid-month cancellations.  Additionally, User acknowledges that any unpaid account balance must be paid prior to Office Ally processing the cancellation request and said unpaid balance may delay the processing of the cancellation. Upon User’s request Office Ally will create a copy of all medical records contained in User’s account and provide User with all data. Office Ally will charge User a one-time fee to extract the data, which fee shall be assessed at the time of User’s request.  User may elect to extract the data itself at no cost.

5. SYSTEM & SECURITY REQUIREMENTS

Office Ally’s products and services are internet-based programs accessed through the Office Ally website. For optimal performance users should be in compliance with Office Ally's System Requirements and Recommendations available here: https://cms.officeally.com/formsmanuals.

These system requirements are subject to change. User designates Office Ally to manage security controls using industry standards and HIPAA best practices to include but not limited to: unique user ids, password complexity, minimum password length, limiting password reuse, lock-out parameters, banner notification and password expiration notice.  

6. CHANGES

Office Ally may, from time to time and in its sole discretion, make changes to this document or the terms and conditions set forth herein. When Office Ally makes material changes prominent notice will be provided as appropriate under the circumstances, e.g., by displaying a prominent notice within the applicable Office Ally products and/or services or by sending User an email. Office Ally shall have the right to increase prices from time to time, upon notice to User not less than thirty (30) days prior to the effective date of such increase. Office Ally reserves the right, with notice, to move Companies or Accounts to Enterprise pricing due to any of the following: A change in or current scale of (i) volume of transactions submitted per month, (ii) number of Rendering NPIs submitting under a User ID, or (iii) size of monthly invoice.

Office Ally may make changes to the Payer List at its sole discretion by adding or removing Payers from the services at any time. Office Ally will use commercially reasonable efforts to provide User with written notice of such change.

7. TERMS AND CONDITIONS

User’s execution of an applicable User Agreement for the products and services applicable to this Data Sheet signifies User’s agreement to the terms and conditions in this Data Sheet and its acknowledgment that products and services are provided under and is governed by such applicable Order and User Agreement.

This document constitutes a Data Sheet as defined in the User Agreement. OFFICE ALLY MAKES NO WARRANTIES, EXPRESS OR IMPLIED, IN THIS DOCUMENT.