Claims help
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Question:
What are the system requirements to use Provider Tools?
Answer:
The requirements to use the various Provider Tools, including electronic submission are:
- an Internet connection
- a web browser
- a username and password supplied by Fallon Health
Download a current version of Internet Explorer.
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Question:
What if I need help logging into Provider Tools?
Answer:
We will be happy to assist you. Please contact our EDI coordinators at 1-866-275-3247, option 6, or via email.
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Question:
How can I give access to new employees and remove access for employees who no longer work for me?
Answer:
To obtain access for new employees, please complete a Provider Tool and electronic data submission Enrollment Form.
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Question:
How do I search by account number or claim number?
Answer:
All searches require that a claim status be selected. When searching by account number or claim number, select the claim status of "All."
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Question:
How can I be sure the information is secure going over the Internet?
Answer:
This site uses 128-bit Secure Sockets Layer (SSL) encryption, the highest level of encryption currently available. Once you are logged into the Fallon Health site, all information transferred is sent using SSL.
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Question:
Can another Fallon-contracted provider view my claims information?
Answer:
No, Fallon limits access to claims information by your provider identification number. Fallon is committed to keeping information secure and confidential.
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Question:
How do I download a claims metric report?
Answer:
One-click reports are always in the format of a download. When running search criteria, you are given the option to "view results on-screen" or "download to file." Choose "download to file." Your data will be transmitted in a comma separated, or ".csv," format. Click Continue from the claims download page. Note that the approximate size and time to download will display based on your Internet connection. Next, a file download box will appear, and you have the option to open the file or save the file to your computer. Open the data using a spreadsheet application (such as Microsoft Excel), and you then may sort the data in any way that you choose.
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Question:
I am successful at downloading files, but it takes a lot of time. Is there a faster way?
Answer:
How fast your file downloads depends on the size of the file and your Internet connection method. Broadband connection via cable or DSL will result in much faster downloads than a 56K modem connection.
You may also limit your search criteria by selecting a specific claim status at a time.
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