JSON twin: https://www.healthaidb.com/software/office-ally-revenue-recovery.json
Office Ally
https://cms.officeally.com/revenuerecovery
Office Ally Revenue Recovery is a suite of tools that identifies active insurance on self-pay accounts, uncovers Medicare underpayments, and recovers missed revenue for healthcare providers.
Modular revenue-recovery solution that includes detailed insurance discovery (converts self-pay to insured), Medicaid screening/enrollment (MAPS), and Medicare underpayment recovery with scheduled reviews and custom reporting. Marketed to ambulatory and hospital organizations to reduce uncompensated care and increase payer reimbursements; vendor offers demos and sales contact for implementation.
yes
2000
US-hosted (US-based hosting/operations indicated)
P1158
2025-09-07
proprietary/commercial
Contact vendor for pricing; sales/demo required. Free upfront assessment offered for Medicare underpayment recovery.
enterprise_quote
SaaS web portal; browser access; supports SFTP for batch; REST/SOAP API connectivity
product
1.0
{
"company_name": "Office Ally",
"company_url": "https://cms.officeally.com",
"company_offices": [
"United States"
],
"company_founding": "2000",
"product_url": "https://cms.officeally.com/revenuerecovery",
"categories": [
"insurance discovery",
"claims management",
"revenue cycle management",
"revenue recovery"
],
"market_segment": [
"smb",
"enterprise"
],
"links": [
"https://cms.officeally.com/revenuerecovery",
"https://cms.officeally.com/",
"https://cms.officeally.com/aboutus",
"https://cms.officeally.com/pricing",
"https://cms.officeally.com/certifications",
"https://support.officeally.com/",
"https://elion.health/products/office-ally-revenue-recovery",
"https://www.g2.com/sellers/office-ally",
"https://www.capterra.com/p/10009271/Service-Center-Clearinghouse/reviews/"
],
"summary": "Office Ally Revenue Recovery is a suite of tools that identifies active insurance on self-pay accounts, uncovers Medicare underpayments, and recovers missed revenue for healthcare providers.",
"description": "Modular revenue-recovery solution that includes detailed insurance discovery (converts self-pay to insured), Medicaid screening/enrollment (MAPS), and Medicare underpayment recovery with scheduled reviews and custom reporting. Marketed to ambulatory and hospital organizations to reduce uncompensated care and increase payer reimbursements; vendor offers demos and sales contact for implementation.",
"target_users": [
"billing staff",
"revenue cycle managers",
"practice managers",
"hospital finance/CFO",
"medical coders",
"patient financial counselors",
"revenue integrity teams"
],
"specialties": [
"primary care",
"internal medicine",
"cardiology",
"oncology",
"orthopedics",
"surgery",
"emergency medicine",
"ambulatory care"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing; sales/demo required. Free upfront assessment offered for Medicare underpayment recovery.",
"license": "proprietary/commercial",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Insurance discovery (converts self-pay to insured)",
"Medicaid enrollment assistance (MAPS screening & enrollment)",
"Medicare underpayment recovery (MS-DRG review, retro audits)",
"Medicare audits and denials support",
"Revenue optimization and uncompensated care reduction",
"Free upfront assessment / scheduled reviews",
"Custom reporting",
"Patient engagement for financial assistance",
"Integration options for claims and eligibility workflows",
"Secure file transfer (SFTP) for batch exchanges"
],
"optional_modules": [
"Insurance Discovery (detailed)",
"MAPS screening & enrollment",
"Medicare Underpayment Recovery services",
"Medicaid Enrollment Assistance",
"Medicare Audit & Denials service"
],
"integrations": [
"Office Ally Service Center (Clearinghouse)",
"Office Ally Practice Mate (Practice Management)",
"Office Ally EHR 24/7",
"Office Ally Payer Gateway",
"Payer networks via EDI (clearinghouse connectivity)",
"SFTP (batch file exchange)",
"REST APIs (realtime)",
"SOAP/MIME APIs (realtime)"
],
"data_standards": [
"X12 EDI (837, 835, 270/271, 276/277)",
"HTTP/REST APIs",
"SOAP/MIME"
],
"api_available": "yes",
"system_requirements": "SaaS web portal; browser access; supports SFTP for batch; REST/SOAP API connectivity",
"compliance": [
"HIPAA",
"HITECH",
"HITRUST CSF",
"NCQA (Patient-Centered Medical Home prevalidated)",
"Maryland Health Care Commission Electronic Health Network certification",
"CORE Certified Clearinghouse",
"Drummond certified (ONC Health IT)"
],
"certifications": [
"HITRUST CSF Certified",
"Drummond Certification (ONC Health IT 2015 badge shown)",
"CORE Certified Clearinghouse",
"Maryland Health Care Commission Certified Electronic Health Network"
],
"security_features": [
"TLS/EV SSL for web traffic",
"SFTP for secure batch transfers",
"Encrypted transmissions",
"Secure web portal",
"Audit/logging capabilities"
],
"privacy_features": [
"HIPAA-aligned controls (privacy page available)",
"Business Associate Agreement (BAA) available"
],
"data_residency": "US-hosted (US-based hosting/operations indicated)",
"customers": [
"Antelope Valley Medical Center"
],
"user_reviews": [],
"ratings": [],
"support_channels": [
"support_suite (web ticket)",
"remote_support (screenconnect)",
"faq",
"contact_support (email)",
"phone"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"training_appointments",
"downloadable_guides"
],
"release_year": "",
"integration_partners": [],
"id": "P1158",
"slug": "office-ally-revenue-recovery",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/office-ally-revenue-recovery.json"
}
}