Providing affordable, accessible billing is a cornerstone of TheraNest. We are excited to share that we will be offering billing through Apex EDI for a rate of just $0.23/claim! This is a true per claim rate and not a per line item rate. 

This option will be an alternative to Office Ally, which announced an unexpected price increase of up to $35/month per provider, effective February 1, 2019. This price change was made industry wide and not a TheraNest specific fee. We were made aware of this price change at the same time as our customers and worked quickly as possible to provide another option to our customers. 

We want to help your practice as you grow, and have negotiated special rates for customers who submit a high volume of electronic claims.  The best part is these discounted prices will apply to all of you claims (not just the ones above each level) and will be automatically applied to your account, unlike our competitors.  No need to worry about predicting how many claims you will submit each month.

If you're unsure on the number of claims you submit monthly please reach out to your current clearinghouse and they should be able to provide you that number. 

You can expect the following with Apex EDI:

  • No Setup or Connection fees.
  • Flat per claim rate. You’re only charged for what you submit - no large monthly fee like Office Ally. 
  • See claim status within TheraNest! You will not have to login to a separate system to see if your claims failed and why.
  • ERAs are included, unlike our competitors.
  • Assistance with EDI and ERA enrollment is included at no extra charge, as well as access to friendly support on claims submissions. 
  • True integration.  Customer who enroll through Apex EDI will have exclusive access in the future to additional features and added functionality.

FAQ

What is the current timeline for Apex EDI and TheraNest?

We are currently in the pre-enrollment phase. If interested please fill out our pre-enrollment form here.  Once you've completed the form no further action is needed. We'll be in touch when enrollment begins. 

Is my payer available on Apex EDI?

Check the Apex EDI payer list here. If you do not see your payer the please reach out to TheraNest support and let us know the specific payer ID. 

How many claims do I submit in a month? 

Be sure to reach out to your Clearinghouse for this number. Ask them for an average. You can reach out to TheraNest support once you have this number and we can give you cost estimates.

What does Assisted Claims mean?
It's a one stop shop for claims and ERA processing.  You'll be able to manage the complete lifecycle of your claim within TheraNest. Be able to check claim status and not have to login to another site to manage your billing. You will be able to bill by exception, so your valuable time is only spent on fixing problem claims while all correct claims are processed automatically.

What will the migration from Office Ally to Apex EDI look like?
We are going to do our absolute best to make the migration as easy as possible for our customers.  We will release more information once we fully roll out.  

Should I go ahead and sign up with Office Ally/Stick with Office Ally?
We strongly encourage you sign up with a clearinghouse to submit claims. Do not wait on Apex EDI Enrollment to submit. 

Do I have to switch to Apex EDI or can I stay with Office Ally or my current clearing house?
You do not have to switch. We encourage you to make the best business decision for you. 

Please click on the Get Help icon if you still need assistance. 

Did this answer your question?