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 (56K modem or high-speed connection)
- a Web browser (We recommend Internet Explorer 5.x or higher.)
- a username and password supplied by FCHP
Download a current version of Internet Explorer.
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Question:
What if I need help using Fallon Community Health Plan's (FCHP) Provider Tools?
Answer:
FCHP will be happy to assist you. Please contact our EDI coordinators at 866-ASK-FCHP, extension 69968, or via e-mail.
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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 and send to:
Fallon Community Health Plan
Attn: EDI Coordinator
10 Chestnut St.
Worcester, MA 01608-2810
Please notify FCHP immediately at 866-ASK-FCHP, extension 69968 to disable access for employees who have terminated employment. Also, if you feel the security of a password has been compromised, please notify FCHP immediately.
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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 FCHP site, all information transferred is sent using SSL. When you are accessing pages on www.fchp.org, there is a lock icon located on the bottom right of your browser window.
(here is what it looks like - )
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Question:
Can another FCHP-contracted provider view my claims information?
Answer:
No, FCHP limits access to claims information by your provider identification number. FCHP 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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