Frequently Asked Questions - Providers/CA - EDI

To enroll, complete the enrollment paperwork.

Mail the original signed documents to:

    ActivHealthCare, Inc
    1926 Northlake Parkway, Suite 100
    Tucker, GA 30084

Please allow up to 30 days for us to process your enrollment. Once we submit the enrollment form to OA, OA will email a user name and password for uploading claim files. An OA enrollment specialist will contact you to set up an appointment with one of their technical staff for training

For providers without billing software, Office Ally (OA) offers a free, online entry tool. This tool allows you access to a blank, electronic HCFA on the OA website. You type data into it the same way you would a paper HCFA. Additionally, this tool allows you to store patient, facility and provider information so you do not have to re-type the same information over and over.

No, the Office Ally website will interface with all practice management software packages. All you need is Internet access. The OA technicians will assist and train your office staff on set-up and the use of the Office Ally tools.

OA's ability to accept a print-image file means that we are compatible with nearly every practice management system. Essentially, if your software allows you to print claims in your office, you can send claims to Office Ally.

By enrolling with Office Ally, you are automatically set-up to send to all payers on the OA Payer List except those with asterisks next to their name. Those payers require you to go through a pre-enrollment process before we can send your claims electronically to them.

Review the list of Network Affiliates, or PPOs, found on this website. If the patient is covered by a benefit plan or carrier that uses one of the Network Affiliates, and the instructions on the corresponding Term Summary Sheet says to submit claims to AHC, then you should identify the claims to OA by placing the AHCØ1 (for AHC) prefix in front of the payer name on the Form 1500.

We have included a list of the network logos on our website to help. If you see one of these logos on an identification card, then the claim should be submitted with AHCØ1 (AHC) in front of the payer name at the top of the Form 1500.

This step is critical. If it is not done properly at the provider office level, there may be numerous payment errors or delays in payment to your office.

Call the customer support team for OA at (949) 464-9129 or send an e-mail to support@officeally.com. Customer service or technical support is available 24 hours a day, 7 days a week, at no additional charge.

You may submit all of your medical claims through Office Ally (OA). This includes AHC payors, Medicare, and other claims that would not involve AHC. AHC is NOT responsible for your relationship with Office Ally and the processing of Medicare, BCBS, Medicaid, and other out-of-network claims. You should contact OA with any questions regarding non-AHC claims.

If there are no processing delays, a typical claim may be paid as early as 10 business days.

You must notify AHC so that we may contact OA to indicate AHC on your enrollment. This is important so your AHC claims are not processed out-of-network. You will also need to submit a check for the set-up fee along with the two AHC enrollment forms.

You are welcome to file Medicare claims through Office Ally, but it is not required. AHC is NOT responsible for your relationship with Office Ally and the processing of Medicare, BCBS, Medicaid, and other non-AHC claims. You should contact OA with any questions regarding non-AHC claims.