Resources for providers

Change Healthcare has experienced a network interruption related to a cyber security issue. Effective 4/29/2024, Fallon Health has re-established our connection with Change Healthcare system for our 837 Health Care Claim transactions.

See more information about Fallon Health’s electronic data submission options.

Save the date – June 5-6

UMass Healthcare Culinary Conference—Bridging Healthcare, Food, and Community. Sponsored in part by Fallon Health.
Event details and registration ►

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

Quick links


News & announcements 

April 2024 Connection newsletter

  • Expanded support for hospitals to meet the needs of behavioral health members
  • Obesity drugs and 340B drug pricing program
  • New Pharmacy Step Therapy exception request process
  • NaviCare® Model of Care training
  • NaviCare Model of Care success
  • Provider notification of DOI Bulletin 2024-02
  • And more

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

Opioid management program and pain management alternatives

Medical Rx program
Fallon Health Medical Pharmacy Prior Authorization Program (.pptx)
Webinar recording


More news and announcements

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Have questions?

Contact your Provider Relations Representative: