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  • Office Ally 835 Enrollment Request 2020

Get Office Ally 835 Enrollment Request 2020-2025

Ber Employer Identification Number (EIN): National Provider Identifier (NPI): PROVIDER CONTACT INFORMATION Contact Name: Telephone Number/Extension: Email Address: Fax Number: ELECTRONIC REMITTANCE ADVICE INFORMATION (CHECK ONLY ONE) Preference for Aggregation of Remittance Data: (i.e. Account Number Linkage to Provider Identifier). Note: Provider Preference for grouping (bulking) claim payment advice. Must match preference for EFT payment (i.e. Billing Provider). Choose and fill in only o.

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The Inventory Reporting screen will look as follows: Page 2 Office Ally | P.O. Box 872020 | Vancouver, WA 98687 .officeally.com Phone: 360-975-7000 Fax: 360-896-2151 INVENTORY REPORTING 2.

All transactions for payers where Office Ally is the designated clearinghouse will be provided free of charge (these payers are identified on our payer list by a notation in the Note column). FEE FOR SERVICES.

Built for value-based care, our web based electronic health record, EHR 24/7 is used by medical providers and practices across the United States and is flexible for a variety of specialties.

Office Ally offers many features to our users including tools for tracking claims, running reports based on your own specifications, checking eligibility, verifying codes (ICD9/ICD10, POS, Modifiers), fixing claims right on our website, entering claims online, and sending attachments electronically.

Office Ally is a healthcare technology company that offers cloud-based solutions to healthcare providers, independent physician associations (IPAs) and health plans. Office Ally's platform supports both the management of care and facilitates payments between providers, health plans and patients.

A clearinghouse/medical intermediary is an organization that enables the exchange of healthcare data between the provider and the payer (insurance company). It is the only HIPAA covered entity that can translate between standard and non-standard transaction formats.

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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