Beginning September 1, all Therabill users will be migrated from the Office Ally clearinghouse to Availity.
Unable to invoice claims?
If Therabill is not allowing you to invoice claims, please fill out this form for each payer you need to enroll with. If requesting Medicare or Medicaid enrollments, please provide your billing provider PTAN and/or Medicaid provider number.
If you have submitted the enrollment forms, please verify the status with the payer. Let us know immediately if you have approval and we will update your account.
We have been reaching out since March of this year asking you to complete enrollments. We will help you get the information needed, just let us know.
We will not allow any claims submissions to Office Ally as of 9/1/2019.
If you have already been approved for EDI and your claims are still unable to be invoiced, ensure that the client's insurance card is mapped correctly to an Availity payer.
Verify the payer ID you are submitting to is accurate, most times this is listed on the insurance card.
If Rejection Message Contains:
- Submitter not approved: Do you have approval to submit to this payer? Please be sure insurance settings match the NPI/TIN/Provider approved for claim submission.
- Subscriber ID being invalid: Please be sure all patient/subscriber information is accurate on demographics and insurance cards. We also recommend verifying benefits with the payer.
- Diagnosis or codes invalid on the session: Please review the CPT or ICD-10 codes to ensure you are following the insurance guidelines with limitations and modifiers.
- Missing/Invalid Other Insured Name (HCFA box 9, UB box 58): Please ensure that your ERAs have been remapped to the Availity payer that matches the client's insurance card.
Are you submitting to a Blue Cross payer that requires the BL plan type? Please read here for more information.
Do you have an approval? Please contact us immediately and we will make the necessary adjustments within your account.
Do you need to remap an ERA? Type the payer name or payer ID into the "Insurance Company" field on the ERA and click Update Insurance Mapping.
If you are missing ERAs, we suggest obtaining them from the insurance provider portal. Once received, please post within Therabill using the COB Batch Insurance payment entry form.
We ask that you use this workflow as if the ERAs were not sent to Availity, they cannot be retrieved and we don’t want you to have further delays with secondary claim submission, resubmissions, and patient statements.
If you are currently receiving ERAs and are missing some dates, please reach out to the payer to ask to resend.
If your ERA enrollment has not been processed by the payer which means you are not receiving ERAs from Availity, please utilize your insurance provider portals to obtain EOBs. Therabill is not able to assist in retrieving these on your behalf.