Provider Tools Registration

It's easy to register for Provider Tools. Complete just one registration form to access all of them!

Step one: 
Download the Provider Tools Registration Enrollment Form (pdf), which includes the provider enrollment form and Billing Agency Authorization form.

Step two: 
Complete the requested information.

Step three: 
Mail or email the registration information to:  

Fallon Health Weinberg
Attn: EDI Coordinator
1 Mercantile St., Ste 400
Worcester, MA 01608
edi.coordinator@fallonweinberg.org

Upon receipt, Fallon Health Weinberg will verify your provider status and assign you a username and password. We will contact you with your personal information.

Have a question? Contact our EDI coordinators at 1-855-827-2003 or via email.