office-ally-service-center

JSON twin: https://www.healthaidb.com/software/office-ally-service-center.json

Company Name

Office Ally

Product URL

https://cms.officeally.com/clearinghouse

Company URL

https://cms.officeally.com

Categories

Summary

Web-based clearinghouse and claims management portal for verifying eligibility, creating/submitting claims, receiving remits, and monitoring claim status.

Description

Office Ally Service Center is a clearinghouse portal that provides eligibility & benefits checks, claim creation and submission (direct entry, file upload, SFTP), claim status tracking, claim attachments, electronic remittance advice, and add-on patient payment capabilities. It targets small-to-large healthcare organizations with portal, API, SOAP/MIME and batch (SFTP) integration options and offers a free start with transactional fees or enterprise/EDI pricing for high-volume customers.

Api Available

yes

Certifications

Company Founding

2000

Company Offices

Compliance

Customers

Data Residency

US-hosted (United States)

Data Standards

Deployment Model

Features

Id

P1159

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial (proprietary)

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Start for free (no monthly fee to begin); transactional fees may apply; add‑ons and enterprise/EDI pricing available — contact vendor for volume/custom quotes.

Pricing Model

freemium

Privacy Features

Ratings

Regions Available

Release Year

2000

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Office Ally",
  "company_url": "https://cms.officeally.com",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2000",
  "product_url": "https://cms.officeally.com/clearinghouse",
  "categories": [
    "administrative",
    "revenue cycle management",
    "clearinghouse",
    "practice management",
    "patient-facing",
    "eligibility and benefits",
    "e-prescribing"
  ],
  "market_segment": [
    "smb",
    "enterprise"
  ],
  "links": [
    "https://cms.officeally.com",
    "https://cms.officeally.com/clearinghouse",
    "https://cms.officeally.com/pricing",
    "https://cms.officeally.com/contact-support",
    "https://cms.officeally.com/payerlist",
    "https://cms.officeally.com/faq",
    "https://www.g2.com/products/service-center-by-office-ally/reviews",
    "https://www.softwareadvice.com/medical/service-center-clearinghouse-profile/",
    "https://www.businesswire.com/news/home/20250406262209/en/Office-Ally-Embarks-on-Next-Phase-of-Growth-and-Innovation-with-New-Mountain-Capital-and-Francisco-Partners"
  ],
  "summary": "Web-based clearinghouse and claims management portal for verifying eligibility, creating/submitting claims, receiving remits, and monitoring claim status.",
  "description": "Office Ally Service Center is a clearinghouse portal that provides eligibility & benefits checks, claim creation and submission (direct entry, file upload, SFTP), claim status tracking, claim attachments, electronic remittance advice, and add-on patient payment capabilities. It targets small-to-large healthcare organizations with portal, API, SOAP/MIME and batch (SFTP) integration options and offers a free start with transactional fees or enterprise/EDI pricing for high-volume customers.",
  "target_users": [
    "clinicians",
    "billing staff",
    "practice managers",
    "medical administrators",
    "revenue cycle teams",
    "hospitals/health systems",
    "payers"
  ],
  "specialties": [
    "primary care",
    "behavioral health / mental health",
    "physical therapy",
    "chiropractic",
    "outpatient specialty clinics",
    "medical billing companies"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "freemium",
  "pricing_details": "Start for free (no monthly fee to begin); transactional fees may apply; add‑ons and enterprise/EDI pricing available — contact vendor for volume/custom quotes.",
  "license": "commercial (proprietary)",
  "deployment_model": [
    "SaaS (cloud)"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Real-time eligibility & benefits (270/271)",
    "Claim submission (direct entry, file upload, SFTP, EDI/X12 837)",
    "Automated claims processing and validation",
    "Claim status tracking (277/276, real-time status)",
    "Electronic remittance advice (ERA/835) retrieval",
    "Attachments upload for claims",
    "Batch claim upload and management",
    "Verification of benefits/workflow tools",
    "Revenue cycle management dashboards/reports",
    "Claims error correction and resubmission",
    "Payer enrollment/ERA enrollment support",
    "All-payer clearinghouse connectivity",
    "Support resources: payer list, enrollment forms, manuals"
  ],
  "optional_modules": [
    "Patient Intake",
    "Patient Reminders",
    "E-Prescribing",
    "Direct Messaging",
    "Telehealth / Virtual Visits",
    "Statement Mailing",
    "Patient Payments",
    "Insurance Discovery"
  ],
  "integrations": [
    "Office Ally Practice Mate (practice management)",
    "Office Ally EHR 24/7",
    "Office Ally Payer Gateway (payer integrations)",
    "SFTP file interfaces",
    "Standard EDI trading partner connections (payors/payers)",
    "Third-party PM/EHR systems via X12/EDI"
  ],
  "data_standards": [
    "X12 (837, 835, 270/271, 276/277 etc.)",
    "HIPAA EDI transactions",
    "CORE (CAQH CORE) interoperability requirements"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "HITRUST CSF",
    "CAQH CORE",
    "Maryland Health Care Commission electronic health network requirements"
  ],
  "certifications": [
    "CORE Certified Clearinghouse",
    "Drummond Certified",
    "HITRUST CSF Certified",
    "Maryland Health Care Commission Certified Electronic Health Network",
    "ONC/Health IT (badge shown on site)"
  ],
  "security_features": [
    "Encryption in transit (TLS/EV SSL)",
    "Regular code scans and external penetration testing",
    "Audit logs / transaction logging",
    "Secure SFTP file transfer",
    "Vendor SOC/HITRUST controls (operational security controls)"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available",
    "HIPAA privacy & security program",
    "Data protection and breach processes"
  ],
  "data_residency": "US-hosted (United States)",
  "customers": [],
  "user_reviews": [
    "Waiting time to talk with customer service can be very long (90–150 minutes).",
    "Better than Availity as a clearinghouse — easier batch submissions.",
    "I've used Office Ally for claims submissions for almost 15 years with generally good results.",
    "Took over 72 hours for my claims to show at times; support said 24–48 hours.",
    "Very easy to use, affordable, and helpful support — good for small practices.",
    "Interface feels outdated compared to some newer platforms.",
    "Great value for the price — no sign-up fees or annual commitments noted.",
    "Customer support knowledgeable and able to help troubleshoot failed claims."
  ],
  "ratings": [
    "G2 — multiple Winter 2025 awards (Best Support, Easiest to Do Business, Best ROI) and top-rated in several G2 categories",
    "Capterra — positive user review aggregate (high usability and value comments)",
    "KLAS / Fierce Healthcare — recognized as a top-performing clearinghouse in industry reports",
    "Trustpilot — generally favorable user reviews (mixed individual experiences noted)"
  ],
  "support_channels": [
    "phone",
    "chat",
    "ticketing",
    "online case form",
    "remote support",
    "FAQ"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online"
  ],
  "release_year": "2000",
  "integration_partners": [
    "Healthie",
    "Kalix",
    "CentralReach",
    "Health Network Solutions (HNS)",
    "Billing Paradise",
    "Practice Mate (Office Ally product)",
    "Various payer connections (5,000+ payers via Office Ally payer network)"
  ],
  "id": "P1159",
  "slug": "office-ally-service-center",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/office-ally-service-center.json"
  }
}