Electronic Data Interchange (EDI) Enrollment (8292 form) - Office Ally-2026

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  1. Click ‘Get Form’ to open the Electronic Data Interchange (EDI) Enrollment (8292 form) in the editor.
  2. In Part A, select all applicable contracts for your Medicare billing. Ensure you check the boxes that correspond to your services.
  3. In Part B, enter the name of your group, physician, provider, or supplier. This must match the name on file with Medicare as per the CMS-855 Enrollment form.
  4. Fill in your practice location details in Section C, including street address, city, state, and zip code. Ensure these match what is recorded with Medicare.
  5. Provide contact information including a contact person’s name, telephone number, fax number, and email address for enrollment responses.
  6. Complete Section D by entering your NPI and PTAN numbers. These must align with Medicare records.
  7. In Section E, specify who will prepare and submit electronic claims. If using PC-ACE Pro32 software, check the appropriate box.
  8. Review Sections F through I for any additional requests regarding submitter IDs or electronic remittance advice options before signing.

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Office Ally is a healthcare technology company that provides a suite of solutions to help streamline the business side of healthcare. Their solutions include electronic health records (EHR), practice management, revenue cycle management, and more.
Your Dental Practice. Electronic Data Interchange (EDI) offers a proven and secure way to improve your practices bottom line by eliminating the need for dentists to deal with each dental benefit plans unique means of conducting business.
The Office Ally Clearinghouse has been helping Payers for over 22 years, receiving clean EDI transactions from a large group of submitters. Payer Gateway: Clean EDI Transactions - Office Ally Office Ally payer-gateway Office Ally payer-gateway
Determine the status of your online EDI application in 3 simple steps: Locate the application reference number (at the top of the Provider Authorization Form and in your confirmation email). Key the reference number in the search field below. Press Submit. EDI Online Application Status Tool - CGS Medicare CGS Medicare medicaredynamic status CGS Medicare medicaredynamic status
- Once you receive confirmation that youve been linked to Office Ally, you MUST call (360-975-7000) or email Support@officeally.com with the below information PRIOR to submitting claims electronically.

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People also ask

This Agreement notifies (fill in contractor name here) of the providers consent to participate in Electronic Data Interchange (EDI). Electronic Data Interchange (EDI) Enrollment Form - CMS CMS medicare cms-forms downloads CMS medicare cms-forms downloads
What is electronic data interchange? Electronic data interchange (EDI) is the automated exchange of business documents between organizations. Daily business workflows require the exchange of documents like invoices, purchase orders, and shipping forms. What is EDI? - Electronic Data Interchange Explained - AWS AWS what-is electronic-data-interc AWS what-is electronic-data-interc
The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five characters, but it may be longer.

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