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Resources for providers

Recent bulletins and memorandum regarding urgent care coverage

If you have questions concerning the recently issued guidance, you can contact Provider Relations at askfchp@fallonhealth.org.

Get the online tools and resources you need to take care of your patients who are Fallon Health members.

Quick links

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Provider Tools

ProAuth authorization tool
Provider look-up
Procedure code look-up
Eligibility verification
Claims metric report
Secure file transfers
PCP panel report
Referral monitoring report

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Administration

Forms
Medical policies
Payment policies
Update your contact information

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Training

ProAuth FAQ/training
MassHealth ACO FAQs
Cultural competency training

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Provider communication

Read Connection newsletter
Past issues of Connection

News & announcements

April 2025 Connection newsletter

Podimetrics termination notification
MassHealth APAD/APEC carve-out drugs update
2024 ACO claims submissions
New Home Health Care and DME prior authorization/utilization management process
Fallon Health ACO pharmacy updates for 4/1/25
And more

Read past issues of Connection

Effective 1/1/22, OptumRx is our pharmacy benefits manager

Opioid management program and pain management alternatives

More news and announcements

Provider Tools

Registration for first time users
Need help? AskFCHP@fallonhealth.org

Interested in contracting with us?

Letter of Interest submission form (pdf)

Have questions?

Contact your Provider Relations Representative:

1-866-275-3247
askfchp@fallonhealth.org