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HomeProvidersContact Provider Relations

Provider Assistance and Support

Our Provider Relations team is committed to helping providers access the resources and support needed to serve Fidelis Care members.

Self-Service Tools and Available Resources

Many common provider questions can be resolved through the self-service tools and resources available on the Fidelis Care provider website and provider platforms. Before submitting a request, providers are strongly encouraged to review and utilize the following resources:



Contact-PR_1

Using these resources first may provide immediate answers and help avoid unnecessary delays. This self-service approach allows Provider Relations teams to focus on more complex inquiries requiring additional research or support.

Need More Help? Submit a Provider Relations Inquiry

When the self-service tools and resources don't have the answers you're looking for, Provider Relations has implemented an Intake Form to streamline and efficiently route provider inquiries to the correct area.

All inquiries submitted through the intake process are reviewed and sent to the appropriate team for investigation and resolution. The assigned team will contact you directly if additional information is needed or to provide updates regarding your request.

Before Completing the Intake Form

Please have the following information available:

  • Provider or Practice Name
  • TIN and/or NPI
  • Contact Name, Email Address, and Phone Number
  • Brief description of the inquiry
  • Supporting documentation, if applicable

Please do not enter claim-level detail directly into the inquiry form.

For Claim-Related Inquiries

Providers must submit claim-level details using the applicable Claim Inquiry Template and attach the completed template when submitting the intake form.

Completing the Claim Inquiry Template helps ensure faster review and routing to the appropriate team.
Intake Form Instructions

Download and complete the Provider Relations Intake Form. 

After completing the form:

  1. Save it.
  2. Attach all applicable supporting documentation.
  3. For claim-related inquiries, attach the completed Fidelis Care Claim Inquiry Template or Wellcare Claim Inquiry Template.
  4. Email the completed intake form and supporting documentation to Contact_PR@fideliscare.org.

    What Happens Next?

    Once your submission is received:

    • The request will be reviewed.
    • The inquiry will be assigned to the appropriate team.
    • A representative may contact you if additional information is required.
    • Updates will be provided as the request progresses toward resolution.


    Did you know?

    Many questions related to claims status, prior authorizations, provider demographics, rosters, policies, and provider education can be resolved using Provider Access Online, Availity, Provider Manuals, QRGs, and Tip Sheets without submitting an inquiry. Please review these resources before contacting Provider Relations.