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Update on Surcharges and Non-nominal Payers
Office Ally recently updated its monthly fees for unequal payer claims and its unequal payer list. Previously, if more than 50% of a provider’s claim volume was to non-peer payers, providers were required to pay Office Ally a monthly fee of $19.95 for each NPI/TIN submitted. Effective February 1, 2019, this monthly fee increased to $35. Healthie’s Starter plan offers a complete practice management and customer service solution for $0. Click here to get started today.
Additionally, the list of bad payers is growing rapidly as insurers choose not to pay for Office Ally’s services. The table below shows the most recent modified payers as of July 1, 2019. An updated list of peer payers can be found here.
There are several reasons for these changes and this supplement. Office Ally has seen a significant drop in insurers willing to pay for its services. As a result, insurers are more cautious about spending money on claims processing, and Office Ally rates are not continually reduced.
Initially, insurance companies sought to encourage claimants to file claims electronically and were willing to accept compensation fees to support electronic filing. However, providers often use electronic filing, so insurance companies are less willing to pay for this incentive.
Additionally, most insurance companies currently offer their electronic claims reporting portals. For in-network providers with multiple insurance payers, using multiple portals to submit claims may be impractical, which is an essential factor in the decision to use a single clearinghouse. However, from the payer’s point of view, a free complaint opportunity is provided to its in-network providers, and the provider’s decision to use an alternative clearing house is independent.