Payer Gateway

Solutions Designed for Health Plans

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Health Plan Solutions

Want to reach more Providers, HealthCare Information Systems and Clearinghouses? Office Ally’s Clearinghouse has been helping Payers for over 22 years, receiving clean EDI transactions from a large group of submitters

Transactions Supported:

270/271 Eligibility and Benefits, 276/277 Claims Submission, 837, I, P, E, D, Workers Compensations Claims submission, 835 Remittance Advice, and Claim Attachments

Claim Routing:

Assist in routing claims to the correct payer through Office Ally’s Misdirected Claims process

Hosted Solutions:

Help support back end system that do not support x12 through hosting Payer data for conversion to HIPAA compliant transactions

Custom Edits:

Stop claims that are not in the adjudication system through custom edits

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Small to Medium Practices

Everything you need to jumpstart your practice or business with simple claim submission, practice management and clinical workflows
Self Service Sign Up

Available services

  • Clearinghouse Service Center
  • Practice Mate
  • EHR 24/7
  • Electronic Prescribing
  • Expert US-based support

Add-ons

  • Patient intake
  • Patient reminders
  • Revenue Optimization
  • esMD
  • Telehealth
  • Direct Messaging

Enterprise

For our largest healthcare providers, healthplans, and IPAs that need to manage claims and optimize revenue at scale with custom integrations and rates
Contact us

Custom rates for

  • Claims
  • Eligibility
  • Medicaid Screening and Enrollment
  • Claim Status
  • Risk Adjustment
  • Insurance Discovery
  • Medicare Underpayments
  • Gateway Services

Available services

  • Custom integrations
  • Expert setup and switching
  • Misdirected Claims and Encounters
  • Medicare Audits and Appeals

Small to Medium Practices

Everything you need to jumpstart your practice or business with simple claim submission, practice management and clinical workflows
Self Service Sign Up

Available services

  • Clearinghouse Service Center
  • Practice Mate
  • EHR 24/7
  • Electronic Prescribing
  • Expert US-based support

Add-ons

  • Patient intake
  • Patient reminders
  • Revenue Optimization
  • esMD
  • Telehealth
  • Direct Messaging

Enterprise

For our largest healthcare providers, healthplans, and IPAs that need to manage claims and optimize revenue at scale with custom integrations and rates
Contact us

Custom rates for

  • Claims
  • Eligibility
  • Medicaid Screening and Enrollment
  • Claim Status
  • Risk Adjustment
  • Insurance Discovery
  • Medicare Underpayments
  • Gateway Services

Available services

  • Custom integrations
  • Expert setup and switching
  • Misdirected Claims and Encounters
  • Medicare Audits and Appeals

Trusted and Compliant Solutions: