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Office Ally - Increasing Clearinghouse Fees

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Michele:
We have tried many options over the past 25 years.  OA has been BY FAR the best option we've ever used.  We've been using them for a number of years now, but I do see other clearinghouses since we do some of our accounts in there system and use the clearinghouse they are set up with.  It just confirms my faith in OA.   The other clearinghouses that I see charge a LOT more, and the service is comparable or below OA.  I have not seen any other clearinghouse with comparable prices, and service.  Availity used to have a free option as well but I am not sure if they still offer that. 

williamportor:

--- Quote from: jpositos on September 05, 2018, 06:31:06 PM ---Hello,

For those who are using Office Ally as clearinghouse, you should have began seeing this notice popping-up each time you open Office Ally to send your claims this week.  With the Office Ally Non-par list getting longer and longer, pretty soon we will be paying $35 per month for each Provider no matter how small that Practice is. 

Any thoughts?  Any recommendations of a clearinghouse that will not break the bank?

Thank you!!!!

Jocelyn

--- End quote ---


I've begun raising my prices, even with my smaller clients to offset this cost. Not much pushback on it.  JMHO- If a clinic can't afford an extra $35.00 a month (about 2 hrs. pay) they're not financially solvent anyway. 

cnew:
Curious how many OA users have individual accounts/separate usernames for each client vs one account/username and combine all providers into one username.  I have over 12 providers each with separate usernames. If each providers account was assessed the $35.00/month fee that would total $455.00/month which is no longer an inexpensive clearinghouse. As the non-par list grows and grows each month and most likely will end up with all payors as non-par, this is an unexpected expense for billers who were never subject to this fee before.  I understand we can pass the fee to our clients, just curious if anyone uses one username and combines all providers accounts under one log on.

Michele:
We have one account we use for approximately 50 providers.  We also have two providers who have their own account because we operate out of their software.

AYeager:

--- Quote from: cnew on December 05, 2018, 09:22:35 PM ---Curious how many OA users have individual accounts/separate usernames for each client vs one account/username and combine all providers into one username.  I have over 12 providers each with separate usernames. If each providers account was assessed the $35.00/month fee that would total $455.00/month which is no longer an inexpensive clearinghouse. As the non-par list grows and grows each month and most likely will end up with all payors as non-par, this is an unexpected expense for billers who were never subject to this fee before.  I understand we can pass the fee to our clients, just curious if anyone uses one username and combines all providers accounts under one log on.

--- End quote ---

The new fee assessment for OA won't matter if you have one login or multiple accounts, because they are going to do it by the NPI + Tax ID for the claims being submitted not just the account user. I have recently looked into several clearinghouses and have found OA to be one of the most affordable options! Others out there are charging per provider to the tune of $125+/month or per claim to the tune of $0.40-$0.60/claim, that's only the few I got quotes from. If you have a really high volume of claims, like the ladies who run this forum, you might be able to get better pricing but smaller billers I stopped looking after getting those quotes and finding OA and Availity.
Availity does still offer a free service account called Availity Portal but the drawback for them is that the Payer list available for the free option is very limited. It works well for me though because I'm based out of Montana and a large portion of patients carry a BCBSMT plan, which is a Payer for Availity with the free service but is non-par with OA so using both cuts down on the number of non-par claims I submit to OA which so far has kept me from having to pay the $35 fee. That being said I actually prefer the way the website for OA navigates and the reports it generates over the Availity website.
For the original post, you might be able to do some research on Payer lists between Availity and OA and see if you could do a work around like that.

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