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IMPORTANT: 2021MY QARR/HEDIS Medical Record Review Requests are Now Available!
1/25/2022 • Posted by Provider Relations

Fidelis Care is pleased to inform you that the medical record request letter and details for 2021MY HEDIS/QARR have been posted on our Provider Portal, Provider Access Online (PAO).  Please review these materials and send the requested documentation to Fidelis Care or arrange for us to retrieve the records from your office as soon as possible.

Please notify any staff involved with Quality Management that these documents have been posted on PAO. If you have any questions, please call the Provider Call Center at 1-888-FIDELIS (1-888-343-3547).

Please note that your office will receive a separate notice for Wellcare HEDIS medical record requests, as applicable.

 

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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

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

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.