Fallon Health

Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

claims

Paper claims mailing address (Fallon Health Claims Department)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

commercial · medicaid · medicare advantage · dsnp
Massachusetts

Mailing address
Fallon Health Claims Department PO Box 211308 Eagan, MN 55121-2908

Paper claims (CMS-1500 / UB-04).

Provider Manual billing section (revised April 2026). Electronic submission preferred. Shipments that cannot go to a P.O. Box (FedEx etc.) go to Fallon Health Claims - Smart Data Solutions, 960 Blue Gentian Road, Eagan, MN. Contracted-provider filing limit is 120 days from date of service (one year for non-contracted). Claim status by phone: Provider Services 866-275-3247, prompt 2 (three claims per call).

View source ↗ · Source checked 2026-10-25

Report an update

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Share a call experience

Suggest a contact correction

Suggest a correction

Call preparation · editorial guide

Make the call count.

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

Have ready in your secure workspace

  • Claim number, service dates and billed amount
  • Submission acknowledgement and remittance
  • Provider billing identifiers

Questions to resolve

  • Was the claim received and accepted for processing?
  • What specifically prevents payment or final processing?
  • Is a corrected claim, reconsideration or appeal the right route?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.

See how it could work for your practice