tracelogoRBFrequently Asked Questions

Office Ally FAQs image

Important Notes:

Remittances associated with claims submitted via Office Ally will be sent to you from HNS.

EOPs will be available through your HNSConnect account.

FAQS

1.  Am I required to send my electronic files to HNS via Office AllyTM?

No. Only those providers whose software can only produce an electronic print image file may submit their HNS claims through Office Ally.

For information regarding transitioning to an 837p 5010 claim file format, please contact your software vendor.

2.  Will my practice management software work with Office AllyTM?

Yes, the Office AllyTM website will interface with all practice management software packages.  All you need is internet access (and even dial-up internet access will work).

3.  How will Office AllyTM identify me as an HNS physician?

HNS has provided Office Ally with an "Office Ally HNS Eligibility File" which Office Ally will use to determine if your claim files are to be sent to HNS.  When contacting Office Ally to enroll, it is not necessary to identify yourself as a HNS physician.

4.  When do I start submitting my HNS files to Office Ally?

You may begin sending your HNS claim files to Office Ally on April 1, 2014.  HNS cannot accept your claim files from Office Ally prior to that date.  However, to ensure that you are ready for the 04/01/14 effective date, you need to enroll as soon as possible and complete your claim file testing with Office Ally.

5.  How will Office Ally know which claim files to send to HNS?

Office Ally identifies claim files to be transmitted to HNS by the HNS Payor ID and by your inclusion of "HNS" and the name of the payor, in the claim file. 

Both "HNS", the HNS address, the name of the payor AND the specific HNS payor ID number for each HNS contracted payor must be included in the claim file you submit to Office Ally.  Without this information your claim file will not be transmitted to HNS. 

Example:  HNS/BCBSNC

HBC01

PO Box 2368

Cornelius, NC  28031

6.  How do I add Payor IDs to my print image claim files?

Your software vendor will need to assist you with adding the HNS payor IDs to your claim files, so please contact your software vendor directly.

7.  Who do I contact about tracing claims sent to HNS through Office Ally?

Contact your HNS Service Representative with questions regarding claims submitted to HNS through Office Ally.

8.  Does Office Ally provide customer support?

Yes, Office Ally's customer service number is (360) 975-7000, Option 1.

 

9.  After I enroll with Office Ally, how do I submit paper claims to HNS?

Office Ally will only accept electronic claim files from HNS physicians.  You will continue to submit secondary and corrected claims, and claims with attachments, directly to HNS, via the CMS 1500 claim form, version 02/12.

10.  What if I need to resubmit a claim to Office Ally?

Just like HNSConnect, the Office Ally system includes edits to prevent the submission of previously submitted claims, so claims previously submitted through Office Ally will error back to you and will not be forwarded to HNS.  If you need to make changes to a previously adjudicated claim, you must file the claim directly to HNS as a "corrected" claim using the CMS 1500 claim form (and be sure to mark the claims as "corrected" and follow the instructions for submission of corrected claims on the HNS Claims Checklist).

11.  If I am already using Office Ally as my clearinghouse, is there anything I need to do?

If you are already using Office Ally, you must begin using the specific HNS payor ID numbers.  You will need to contact your software vendor for assistance in adding the HNS payor IDs to your HNS claim files.

You will continue to send claim files to Office Ally for non-HNS payors just as you currently do.

12.  What if I want to use Office Ally to send my claim files to ALL payors?TM

Office Ally will not charge you for sending claim files to other payors, such as United Healthcare, Aetna, etc.  Once you have enrolled with Office Ally, if you wish to use Office Ally as your clearinghouse for some, or all of your other (non-HNS) payors, you should first check the Office Ally website to verify that Office Ally transmits to those payors, obtain the appropriate payor IDs and include them in your files, then send those claim files to Office Ally.TMcommercial TMTMTMTMTM

13.  Will HNS accept claims from any other clearinghouse?

No, HNS has contracted exclusively with Office Ally to convert your non-standard claim files to the required 837p 5010 format and to transmit those claim files to HNS.TM

14.  How long will HNS allow me to submit my claims through Office Ally?TM

HNS will only accept claims from Office Ally while you are participating in the HNS Network.  If you have claims that must be submitted to HNS after the effective date of the termination of your participation, those claims must be filed to HNS via "paper" claims on the revised CMS 1500 claim form.TM