Physician and provider resources

MedSolutions Radiology Management Program
MedSolutions, Inc. will administer FCHP's prior notification program for all outpatient MR, CT, Nuclear Cardiac, and PET imaging studies for most FCHP members.

2010 HEDIS^® measures
Measures for preventive health care and condition-specific care.

GIC provider tiering methodology
Group Insurance Commission’s (GIC) Clinical Performance Improvement Initiative (CPII) has adjusted its physician tiering methodology for 2010. 

Beacon Health Strategies
The Beacon Health Strategies Web site offers providers helpful, up-to-date information about behavioral health topics and benefits. Providers can find regularly updated "frequently asked questions," downloadable forms, eServices such as member eligibility verification and claims, and level-of-care information as well as clinical guidelines.

Massachusett Health Quality Partners (MHQP)
MHQP provides reliable information to help physicians improve the quality of care they provide their patients and help consumers take an active role in making informed decisions about their health care.

HealthCare Administrative Solutions, Inc. (HCAS)
HCAS was founded in January 2005 as the result of a commitment by leading Massachusetts health plans, including Fallon Community Health Plan, to collaborate on administrative simplification initiatives for providers. Visit the HCAS site (the link above) for more information.

Healthwise^® Knowledgebase
Because your patients’ health is important to us, we want to help them make better decisions. This easy-to-use online health resource tool can assist you in encouraging your patients to optimize their health care.

National Provider Identifier
Submit your NPI to Fallon Community Health Plan or learn more about the National Provider Identifier.