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A confirmation e-mail/call from us within 2-3 days of faxing this form to us, please fax it again. Please make sure to print legibly and to complete this form in its entirety. You risk delaying enrollment if the application is unreadable or incomplete. All fields in bold are required. PROVIDER INFORMATION Provider Name: Provider Address: City: State: Zip: PROVIDER IDENTIFIERS INFORMATION Provider Federal Tax Identification Number Employer Identification Number (EIN): National Provider Iden.
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MAMSI FAQ
0:23 3:06 Start by hovering over submit claims and selecting create claims. On the create new claim page youMoreStart by hovering over submit claims and selecting create claims. On the create new claim page you can create claims using quick entry. Or start with a blank. Form utilizing quick entry.
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.
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.
- Standard Processing Time is approximately 14 days. - Once you receive confirmation that you've been linked to Office Ally, you MUST call (360-975-7000) or email Support@officeally.com with the below information PRIOR to submitting claims electronically.
If you have any questions, please contact Office Ally's Customer Support by calling 1-866-575-4120 (toll free) or sending an email to info@officeally.com.
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.
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