Welcome, Providers!

 

LATEST NEWS


Tuesday • Posted by Provider Relations
Effective January 1, 2021, Walgreens and Duane Reade will no longer be in the pharmacy network for Fidelis Care members of certain products.
Tuesday • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective January 1, 2021.
Tuesday • Posted by Provider Relations
Effective December 1, 2020, Fidelis Care is partnering with Envolve Pharmacy Solutions.
Last Week • Posted by Provider Relations
Fidelis Care is pleased to announce the Fall 2020 issue of our Provider Bulletin is now available.
11/19/2020 • Posted by Provider Relations
Beginning 11/20/2020, Fidelis Care will make a few changes to how we process and print our weekly provider checks.
Older Articles


Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

Submit claims electronically with Fidelis Care.

Join Our Provider Network

Be part of the Fidelis Care mission. 

Important Information on Coverage Decisions

Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on many health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

Fidelis Care does not reward providers or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff based on decisions that promote underutilization of services. 

Fidelis Care is committed to ensuring that members have the care and services they need. 

Provider Access Online

Verify member eligibility, check claims, and more.

Submit Authorization Requests

Utilization management systems available to submit authorization requests.