News and announcements

Paper claims P.O. Box issues

When shipping paper claims that are not deliverable to a P.O. Box, (via FedEx etc.), please send to the following address:  

Fallon Health Claims- Smart Data Solutions
960 Blue Gentian Road
Eagan, MN 55121

Opioid management program and pain management alternatives

July 2020 Connection newsletter 

  • Changes to Claim Reversals on the EDI 835 Remittance Advice 
  • COVID-19, HEDIS 2020 and Pay for Performance 
  • PrEP Therapy 
  • Sampling and Extrapolation Process 
  • Medicare Non-Formulary Quantity Limit (NF+QL) Program 
  • Medicare Medication Therapy Management Program—MDLink™

Read past issues of Connection

Pharmacy updates

Beginning March 1, 2018, MassHealth members have more options for getting care, including MassHealth Accountable Care Organization (ACO) Partnership Plans.

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