How to determine if you need an EDI pre-enrollment for your payer in Office Ally
How to determine if you need an EDI pre-enrollment for your payer in Office Ally™
Go to the Office Ally Payer List
Then, under search payers, enter the payer name or payer ID then find the payer that you are looking for and the “Professional Claims 837P” transaction type. Once you find the right payer and transaction type, look under the “Enrollment” column. If there is an orange exclamation mark, then an enrollment is needed.
How to find EDI Enrollment instructions on Office Ally
In Office Ally, go to Resources and click on Payer Claims/Eligibility/Claim Status Enrollment Instructions
Once clicked, this will take you to the EDI enrollments page which is set up by state. Click on your state and you should be able to download, fill out and submit the forms per the instructions on the form.
If you are working with Federal plans like Tricare, please make sure to check the "All/Multiple State" section as well.
If your payer requires and EDI enrollment, you cannot bill until the enrollment is completed.