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

 

More news and announcements

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Provider Tools

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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