Wendall, let me first say that I am tearful as I, the young viking, can maybe (just maybe) lend some assistance to the mighty warlord.
Here is the process I used exactly. I finished the chart and signed it. I tried to send it in text format but it did not go. It actually was sent of officeally but rejected. I was told by officeally that it needed the "ansi" format. I was told by a "guardian angel" that this format could be found under the billing section so there I went. I went into the billing section via the "export by date tab" under billing heading from the main ac screen. I put in the date of the bill I was sending and several names came into the box. I highlighted the specific file from the names of the patients shown shown and set the export section to "export selected item only." I executed the export comand from the button at the middle left hand place on the chart. I then recieved a prompt with a file name to the left and a little box on the right that said "select the format for your export." Here I selected officeally then pressed export. From here I got a windows drop down box that showed the items on my desk top. I had previous set a file under my documents labeled office alli file. I selected this file and pressed ok. The new file was then sent to my desktop. From here I then simply logged into office and and selected upload file using hcfa 1500 format, selected the file from my desktop and it was sent to officealli. I again okd the file and it was sent into the officealli system. By the way, there is a specific interface between officeally and ac. The officeally tech will walk you through the process although I did not wait for that call and just jumped right in. 15-30 minutes later I got an email from officeally stating that the file had been accepted, processed and was "cleanly" in the hands of the insurance company. I am waiting to make sure it was accepted by the insurance company via eob today but it seems to have at least been sent after being accepted by the clearing house. I can go into the officeally site and fix any errors as well. I didn't even enter any patient info. We can also check pt elgibility on the website. Well thats my story and I sticking to it. (forgive typos but need to get in to see patients without proofing)