When I spoke to Office Ally about this, the export into the CMS file is fine except for box 33. So it's only box 33 that needs changing as far as uploading.
However, I learned something else as well. I spoke with the folks at Premera Blue Cross...you HAVE to use the online form to submit. For some reason using the upload and the Office Ally form does not work for them. I have no idea if there are other insurance companies that are like this.
I've found no other work arounds for this. At least once the information is input into the form, it's saved, so next time on that pt you only need to add the appropriate codes and dates.
Barbara