How can I determine if a member is active and which Fallon Community Health Plan product they have?
Confirming eligibility is easy by using FCHP Provider Tools. From the Physicians and providers home page, click on Eligibility verification to access member eligibility information. If you have not registered for access, click on Provider Tools for more information on what options are available to you with this tool. Then, click Register today to download a registration packet. You can also find out if a member is active by checking a member’s FCHP ID card. All members receive an ID card when they enroll. This card should be photocopied for your office records. All FCHP ID cards will indicate the product the member has, such as FCHP Select Care, FCHP Direct Care, FCHP Flex Care Select, FCHP Flex Care Direct, Fallon Senior Plan,™ Fallon Preferred Care or Major Medical.