Fillable TAKECARE INSURANCE CO (98022) PRE-ENROLLMENT INSTRUCTIONS (Office Ally)

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TAKECARE INSURANCE CO (98022) PRE-ENROLLMENT INSTRUCTIONS (Office Ally)

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• EDI Trading Partner Information Enrollment for Electronic Claims Submission
• Email the form to Support@officeally.com
o Please note the form is emailed to Office Ally and NOT to TakeCare.
• Standard processing time is 5 business days.
• Send an email to Support@officeally.com asking if you have been linked to Office Ally for claims submission.
• Once you receive approval you may begin submitting your claims electronically.
Office Ally, Inc | PO Box 872020 | Vancouver, WA 98687 | (360) 975-7000
TAKECARE INSURANCE CO (98022)
PRE-ENROLLMENT INSTRUCTIONS
WHICH FORM(S) SHOULD I DO?
WHERE SHOULD I SEND THE FORM(S)?
WHAT IS THE TURNAROUND TIME?
HOW DO I CHECK STATUS?
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TAKECARE INSURANCE CO (98022) PRE-ENROLLMENT INSTRUCTIONS (Office Ally)

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Completed 8 April 2021

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