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  • 835 Transactions - Era Enrollment Form Through Office Ally

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835 Transactions ERA Enrollment Form through Office Ally For the following groups: Key Medical Group Commercial (BSC, BC, UHC, HN) IP082 Key Medical Group Medicare Advantage (Humana) IP083 Kaweah.

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Office Ally is a full-service, cloud-based clearinghouse employed by health and wellness professionals who accept insurance for their services. Office Ally software allows providers to create, submit, and track insurance claims, as well as run reports, check eligibility, and verify codes.

Our representatives will be happy to assist you. For questions regarding other Office Ally services (i.e. Practice Mate and EHR, claims issues, etc.), please continue to use our Customer Support telephone number at 866-575-4120.

The Non-Par processing fee is $35.00* and is calculated and charged per unique Tax ID + Rendering NPI combination whose claim volume is 50% or more to Non-Par Payers (per our Payer List) in a month.

Office Ally is ONC-ATCB certified and HIPAA-compliant. ONC-ATCB certified EHR systems have been thoroughly tested and approved to securely store and maintain patient health information. HIPAA IT sets the standard for sensitive patient data protection.

You are able to click on the Claim ID (blue link) and pull up the claim image. From here you can click on “Print to PDF File” to print that claim image. Note: Office Ally archives all claims submitted here for at least seven years.

If you are a Provider who is credentialed with Medicare, you must complete a pre-enrollment EDI form prior to submitting e-claims through our clearinghouse partner Office Ally.

Most payers require that you fill out an ERA enrollment form to begin receiving ERAs. These forms are located on our website under: Resource Center > Payer Enrollment forms. Once the payer starts sending your ERAs to Office Ally, they will be made available to you in your Office Ally account.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232