• Emdeon EDI Enrollment Form
o Note: This form is emailed to Office Ally, not Emdeon.
• Penn Behavioral Health Corporate Services Electronic Claims Request
• Email the Emdeon EDI Enrollment Form to EnrollmentAdmin@officeally.com
o Email Subject should include “Emdeon EDI Enrollment”
• Fax the Penn Behavioral Health request form to (215) 746-2695
• Standard processing time is 24-48 business hours.
• If you have not received confirmation of your enrollment within 24-48 business hours, you can call
(888) 321-5533 to check enrollment status.
• Once you have received confirmation that you have been linked to Office Ally, you may start
submitting right away.
Oﬃce Ally, Inc | PO Box 872020 | Vancouver, WA 98687 | (360) 975-7000
PENN BEHAVIORAL HEALTH (53226)
WHAT FORM(S) SHOULD I DO?
WHERE SHOULD I SEND THE FORM(S)?
WHAT IS THE TURNAROUND TIME?
HOW DO I CHECK STATUS?