Author Topic: Office Ally  (Read 1222 times)

maxamillion125

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Office Ally
« on: November 23, 2013, 01:20:11 PM »
Can I use Office Ally for the sole purpose of checking patients elgibility, Claim status and to view download ERA for payors that are listed.  I'll be using my current PM and clearings house I just need central hub to check multiple payers and multiple providers at the same.  Will this work?

RichardP

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Re: Office Ally
« Reply #1 on: November 24, 2013, 01:43:29 AM »
Office Ally will give you the claim status of claims it has submitted.  I don't believe that they will tell you the status of claims submitted though other Clearinghouses.  If they do do this,  this is a new feature that I don't know about and someone else will chime in.  Likewise, I don't think you have access to ERA's for claims submitted though a different Clearinghouse.

Think about it from a HIPAA standpoint:  Why should any entity, person or business, have access to the private patient data of another entity with whom it does not have a "Business Associate" contract.  Office Ally would have to have a Business Associate's contract with your doctor(s) before they could gain access to your doctor(s) patient information processed by a different clearinghouse.  And, if Office Ally did not process that data themselves, I don't know that they could get access to that info, BA contract or no.

So call Office Ally and ask them.

Business Associate Contract:
http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/contractprov.html

Check out Availity.  That will give you what you want from most major insurance carriers.

http://www.availity.com/about-availity/what-is-availity/products-services/


maxamillion125

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Re: Office Ally
« Reply #2 on: November 25, 2013, 10:17:34 PM »
Can I verify Insurance coverage at least?

RichardP

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Re: Office Ally
« Reply #3 on: November 29, 2013, 12:52:02 AM »
Can I verify Insurance coverage at least?

The answer used to be no.  I believe that is still the case, but you can check by just going to their web site and trying it.  I think you cannot get to the insurance verification site without logging in to an account established for your doctor.

You might look through this pdf file.

http://www.officeally.com/files/Eligibility_Verification_Instructions_for_Use_07052011.pdf