Provider portal and online tools
Our web-based tools reduce paperwork, save valuable time, and improve communication—and they’re available at no cost.
New! Provider portal
We’re excited to announce our new provider portal for our contracted providers. This portal includes:
- Patient search and eligibility verification
- Claims status
- PCP panel status/member roster
- Authorization status
- Provider appeals
- Secure messaging
Please note: This registration link is for the individual(s) in your organization who are identified as super users. If you are not a super user, please find out who is in your practice, and they will register you. If you use this registration link and you’re not a super user, your registration could be denied.
Providers will still register for and log in to ProAuth separately.
ProAuth authorization tool
Enter referrals and authorizations
Log in ► Register ► Learn more ►
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.
Learn more ►
Look-up tools
Login is not required for these applications.
- Provider look-up
Search for providers (including contracted individual and ancillary providers) by provider name, city, type, and other criteria.
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Procedure code look-up
A searchable library of all active CPT and HCPCS codes. The look-up provides preauthorization requirements.