Updates to Provider Tools

We've updated the Eligibility Verification tool to improve how it looks on your mobile device. Future enhancements will be coming.
Log in to Eligibility Verification 

Provider Tools

Our web-based tools reduce paperwork, save valuable time, and improve communication—and they’re available at no cost to you!

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.
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Provider Tools available through Fallon Health's Provider Portal

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  • Eligibility verification
    Verify that your patients are eligible for the date of service.
    Verify copayments, deductibles, and products.
  • Claims metric report
    Review your rejected claims with detailed rejection reasons.
    Review reports online or download to your computer.
  • Secure file transfers
    Protect personal health information through secure transactions.
  • PCP panel report
    View members on your PCP panel.
    See additions and deletions to your panel.
    Review reports online or download to your computer.
  • Referral monitoring report
    View claims and member information for referrals you've made.