Provider portal and online tools
Our web-based tools reduce paperwork, save valuable time, and improve communication—and they’re available at no cost.
Provider portal
Features include:
- Patient search and eligibility verification
- Claims status
- PCP panel status/member roster
- Authorization status
- Appeals submitted on members' behalf
- Secure messaging
Providers will still register for and log in to ProAuth separately.
ProAuth authorization tool
Enter referrals and authorizations
Log in ► Register ► Learn more ►
Electronic Funds Transfer and 835 Claim Payment/Advice
Fallon Health offers Electronic Funds Transfer (EFT) and the 835 Health Care Claim Payment/Advice through PaySpan.
Learn more ►
Look-up tools
Login is not required for these applications.
- Provider look-up
Search for providers (including contracted individual and ancillary providers) by provider name, city, type, and other criteria.
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Procedure code look-up
A searchable library of all active CPT and HCPCS codes. The look-up provides preauthorization requirements.