INSURANCE DISCOVERY (ID) FC DATA SHEET

Revised: 11/01/2024

This Data Sheet describes the Insurance Discovery (ID) FC service, an insurance coverage locator tool, provided by Office Ally, Inc ("Office Ally") to the User named on an applicable Order (the "User").

1. INSURANCE DISCOVERY SERVICE

The Insurance Discovery (ID) FC service allows the User to find patient coverage by searching payers for a unique patient date of service, visit or encounter. When coverage is discovered, the details are returned to the User in a human readable format.  If no coverage is detected, the User will receive a response indicating that no coverage was found.

2. DEFINITIONS

A patient transaction is defined as the attempt to find coverage (clicking the green ‘Submit’ button) for a single patient for a particular date of service, visit or encounter (Account), independent of whether coverage is found or not found or whether the same patient transaction has already been sent previously.

3. FEES FOR SERVICES

User will incur a charge of $10 per month for the first 15 patient transactions sent to Office Ally in the month, as defined above. Each subsequent patient transaction past the initial 15 transactions during the same month will be charged $0.75 per patient successful transaction. Office Ally will invoice User at the beginning of each calendar month (within first 10 days) irrespective if any patient transactions are sent within the month.

4. PASS THROUGH FEES

Office Ally, as the Receiver, may pass through any third-party fees, without markup, associated with any Transactions to the Submitter. This includes UHIN Pass Through Fees. Pass Through Fees shall be included on monthly invoices.

5. CANCELLATION OF SERVICES

If User wishes to cancel Insurance Discovery FC, they must go (or, if not an admin, have the admin go) to the Account Management screen within the application, click on the ‘Insurance Discovery FC’ tile, and click the red ‘Disable Insurance Discovery FC’ button.

6. 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. For intended use of the Virtual Visits product, User should utilize a device with tested and reliable video and microphone capability.

7. 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.

8. 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.

Need further information? Please contact Office Ally support.