In an effort to streamline provider demographic changes and provider termination requests, Fidelis Care has created two new electronic forms for providers to use.

Availity Essentials Live Webinars for Fidelis Care Providers

8/6/2025 • Posted by Provider Relations

Availity experts are hosting several live webinar sessions in the month of August to assist Fidelis Care providers with navigation of Availity Essentials. Space is limited, save your seat today!

New DRG Claim Review Initiative – Effective September 1, 2025

8/1/2025 • Posted by Provider Relations

As part of our ongoing Payment Integrity Program, a new initiative will begin September 1, 2025.

Medicare Prior Authorization Updates

8/1/2025 • Posted by Provider Relations

The following section of the Fidelis Care authorization grids have been updated effective September 1, 2025.

New EOB Reason Code for Claim Adjustments

8/1/2025 • Posted by Provider Relations

Fidelis Care would like to announce a new Explanation of Benefit (EOB) adjustment reason code that will be applied to claims where Fidelis Care has received a primary carrier payment.

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