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

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

Verify or update your practice information
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