claims
Paper claims mailing address (Fallon Health Claims Department)
No phone listed for this route
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commercial · medicaid · medicare advantage · dsnp
Massachusetts
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).
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