Fallon Health
1 Mercantile St., Ste. 400,
Worcester, 01608, MA,
United States
Worcester, 01608, MA,
United States
1 800-333-2535
Insurance
Fallon Health Technographics
Fallon Health Technographics, Software Purchases, AI and Digital Transformation Initiatives
Discover the latest software purchases and digital transformation initiatives being undertaken by Fallon Health and its business and technology executives. Each quarter our research team identifies on-prem and cloud applications that are being used by the 1100 Fallon Health employees from the public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources.
During our research, we have identified that Fallon Health has purchased the following applications: Oracle Cloud ERP for ERP Financial in 2019, Cognizant TriZetto QNXT for Core Admin Processing System in 2015, 1upHealth Platform for Analytics and BI in 2023 and the related IT decision-makers and key stakeholders.
Our database provides customer insight and contextual information on which enterprise applications and software systems Fallon Health is running and its propensity to invest more and deepen its relationship with Oracle , Cognizant , NextGen Healthcare or identify new suppliers as part of their overall Digital and IT transformation projects to stay competitive, fend off threats from disruptive forces, or comply with internal mandates to improve overall enterprise efficiency.
We have been analyzing Fallon Health revenues, which have grown to $400.0 million in 2024, plus its IT budget and roadmap, cloud software purchases, aggregating massive amounts of data points that form the basis of our forecast assumptions for Fallon Health intention to invest in emerging technologies such as AI, Machine Learning, IoT, Blockchain, Autonomous Database or in cloud-based ERP, HCM, CRM, EPM, Procurement or Treasury applications.
Fallon Health Tech Stack and Enterprise Applications
Fallon Health ERP
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Oracle | Legacy | Oracle Cloud ERP | ERP Financial | ERP | n/a | 2019 | 2021 |
In 2019 Fallon Health implemented Oracle Cloud ERP as a core finance platform in a multi-year finance transformation initiative. The implementation targeted the insurer's corporate finance and accounting organization across the United States and was led from roles including Financials System Architect and Business Analyst for financial systems.
Oracle Cloud ERP was configured to deliver ERP Financial capabilities including General Ledger, Accounts Payable, Accounts Receivable, Cash Management, Fixed Assets and financial close and reporting workflows. Configuration work emphasized chart of accounts rationalization, accounting rule configuration, period close orchestration and integration points for planning and budgeting, consistent with ERP Financial functional requirements.
Integrations were explicitly implemented with Adaptive Insights for planning and budgeting data exchange, and Microsoft Azure Logic Apps to orchestrate data movement and transactional workflows between Oracle Cloud ERP and upstream and downstream systems. Operational coverage concentrated on finance, accounting and treasury processes, with the Financials System Architect and Business Analyst roles responsible for system design, requirements definition and orchestration of the integration landscape.
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Fallon Health ERP Services and Operations
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Cognizant | Legacy | Cognizant TriZetto QNXT | Core Admin Processing System | ERP Services and Operations | n/a | 2015 | 2015 |
In 2015 Fallon Health implemented Cognizant TriZetto QNXT as its Core Admin Processing System to centralize medical claims processing and member enrollment workflows. Cognizant TriZetto QNXT serves as the hospital and professional claims adjudication and member administration platform supporting eligibility, enrollment, and claims lifecycle management for Fallon Health.
Cognizant TriZetto QNXT was configured to support claims adjudication for medical lines while coordinating inbound and outbound feeds for ancillary vendor claims, including chiropractic, behavioral health, pharmacy, dental, and vision. Implementation emphasized membership and enrollment management, claims data extracts for downstream reporting, and benefit and provider configuration consistent with Core Admin Processing System functionality.
The QNXT deployment was integrated with multiple third party vendors and partners explicitly named in operational notes, including LabCorp, CVS Caremark, Zipari, Optum, ASH, Beacon, DBP, Eyemed and regional ACO partners and claims vendors across Massachusetts. Member and enrollment data from Cognizant TriZetto QNXT was funneled into Fallon Healths enterprise data warehouse and augmented with Microsoft Azure based analytics and data processing, supported by a data virtualization layer and standardized data gating rules.
Governance and operational change centered on Agile project management practices, vendor collaboration and a data standardization gatekeeper role to manage requirements, vendor specs, and integration patterns. The implementation impacted claims operations, enrollment teams, vendor management and analytics functions, and established ongoing processes for claims data management, integration stewardship and cross-vendor coordination within Fallon Health.
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Electronic Health Record | ERP Services and Operations |
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2017 | 2017 |
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Fallon Health Analytics and BI
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| 1upHealth | Legacy | 1upHealth Platform | Analytics and BI | Analytics and BI | n/a | 2023 | 2024 |
In 2023, Fallon Health implemented the 1upHealth Platform to meet CMS interoperability requirements and support payer analytics and compliance efforts in the United States. Apps Category:
The engagement concentrated on payer interoperability, regulatory compliance, and analytics outcomes, with inferred deployment of 1upHealth Platform payer and analytics modules to support those objectives. Implementation work emphasized FHIR based API connectivity, standardized claims and clinical data ingestion, and analytics pipelines for payer reporting and oversight. Configuration and automation efforts included data normalization, identity and access controls, and role based access for compliance and analytics teams.
Operational scope covered Fallon Health payer operations, compliance, and analytics teams across the United States, executed in phases to align with CMS interoperability timelines. Governance and process changes focused on data stewardship, consent handling, audit logging, and compliance oriented reporting workflows to support regulatory obligations. Instrumentation for monitoring and audit was part of the deployment to enable ongoing oversight while the engagement maintained its focus on payer interoperability and regulatory compliance.
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Data Warehouse | Analytics and BI |
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2018 | 2018 |
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Fallon Health Collaboration
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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Audio Video and Web Conferencing | Collaboration |
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2020 | 2020 |
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Collaboration | Collaboration |
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2019 | 2019 |
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Fallon Health Content Management
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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Digital Signing | Content Management |
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2021 | 2021 |
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Web Content Management | Content Management |
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2017 | 2017 |
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Fallon Health CRM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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CRM | CRM |
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2020 | 2020 |
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Data Management Platform | CRM |
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2017 | 2017 |
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Data Management Platform | CRM |
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2022 | 2022 |
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Data Management Platform | CRM |
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2022 | 2022 |
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Digital Advertising Platform | CRM |
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2016 | 2016 |
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Digital Advertising Platform | CRM |
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2016 | 2016 |
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Digital Advertising Platform | CRM |
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2017 | 2017 |
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Marketing Analytics | CRM |
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2022 | 2022 |
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Marketing Analytics | CRM |
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2022 | 2022 |
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Marketing Automation | CRM |
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2022 | 2022 |
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Marketing Automation | CRM |
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2017 | 2017 |
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Sales Automation, Sales Engagement | CRM |
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2020 | 2020 |
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Fallon Health EPM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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EPM | EPM |
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2019 | 2019 |
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Fallon Health SPM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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Incentive Compensation Management | SPM |
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2021 | 2021 |
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Fallon Health TRM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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Governance, Risk and Compliance | TRM |
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2024 | 2024 |
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Fallon Health PaaS
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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Apps Development | PaaS |
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2023 | 2023 |
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Fallon Health IaaS
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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Application Hosting and Computing Services | IaaS |
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2016 | 2016 |
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Application Hosting and Computing Services | IaaS |
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2022 | 2022 |
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Data Warehouse Appliance | IaaS |
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2018 | 2018 |
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IT Decision Makers and Key Stakeholders at Fallon Health
| First Name | Last Name | Title | Function | Department | Phone | |
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| No data found | ||||||
Apps Being Evaluated by Fallon Health Executives
APPS RUN THE WORLD tracks software evaluation trends across 2 million companies worldwide, including buyer insights from Fallon Health IT executives and key decision makers. As part of ARTW Buyer Intent and technographics insights, these findings provide useful visibility into the Fallon Health digital transformation priorities and AI adoption trends.
| Date | Company | Status | Vendor | Product | Category | Market |
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| No data found | ||||||
FAQ - APPS RUN THE WORLD Fallon Health Technographics
Fallon Health is a Insurance organization based in United States,
with around 1100 employees and annual revenues of $400.0 million.
Fallon Health operates a diverse technology stack with applications such as
Oracle Cloud ERP, Cognizant TriZetto QNXT and 1upHealth Platform,
covering areas like ERP Financial, Core Admin Processing System and Analytics and BI.
Fallon Health has invested in cloud applications and AI-driven platforms to optimize efficiency and growth,
collaborating with vendors such as Oracle, Cognizant and 1upHealth.
Fallon Health recently adopted applications including
1up Comply in 2024, 1upHealth Platform in 2023 and PostHog in 2023,
highlighting its ongoing modernization strategy.
APPS RUN THE WORLD maintains an up-to-date database of Fallon Health’s key decision makers and IT executives,
available to Premium subscribers.
Our research team continuously updates Fallon Health’s profile with verified software purchases,
vendor relationships, and digital initiatives identified from public and proprietary sources.
Subscribe to APPS RUN THE WORLD to access the complete Fallon Health technographics profile,
including detailed breakdowns by category, vendor, and IT decision makers.