Provider Access Online Resources

Provider Access Online, Fidelis Care’s secure Provider Portal, gives your office access to many powerful tools. To learn more about the functionality available to you, please explore the below resources. Additional videos and FAQs are planned for the future. If you have any suggestions, please contact your Provider Relations Specialist. 



Provider Access Online

View patient information, get claims details, see eligibility / benefits, submit authorizations, download documents, and more.


Provider Access Online User Roles

To fully benefit from Provider Access Online, it’s important to grant the right access to your staff. The following represents the current available portal role options that can be added or removed from a user account: 

  • Account Administrator: Full access & user management role
  • Authorizations Viewer: Access to view & create authorization requests
  • Claims Information Viewer: Access to claims search functions
  • Clinical Information Viewer:  Access to view clinical data
  • Patient Information Viewer: Access to search patient data
  • Patient Roster Viewer: Access to review a patient roster (Primary Care)
  • Remittance Advice Viewer: Access to downloadable remittance advice file


Confirm Patient Eligibility and Benefits

One of the most powerful features on Provider Access Online is the patient search tool.  This feature allows providers and your assigned staff to check a patient's eligibility and benefits quickly and easily.

  • Watch this informational video to learn how to navigate the patient menu, perform search functions, and review patient details:
  • Please remember, a user needs Patient Information Viewer status to access this data after signing in.




Locate and Review a Claims Status

Once logged in, use the left menu to navigate to the claim screen select.

PAO offers a variety of ways for Providers to search for a claim in the dropdown menu, including:

  • Subscriber ID
  • Claim ID
  • Medicaid ID / CIN
  • Medicare ID
  • Patient Account #
  • Provider NPI

Accessing the Claims Summary, Payment Details, and Claim Line Items

  • Simply enter the date range for the claims that you want to check and click on “search.”
  • All claims for the date range that you selected will be listed as well as the statuses of the claims.  
  • From here, Providers can click on an individual claim ID for more information, including the claim summary, payment details, and claim line items. 
  • Providers can also click on a claim line item, getting the full details on the line item, including any reasons for disallowed claims.



Authorization Resources

With Provider Access Online, you can submit authorization requests to Fidelis Care or check the status of existing Fidelis Care requests.


User Guide

Step-by-step directions on how to request online authorizations and how to check authorizations status

Vendor Programs

Utilization management systems available to submit authorization requests.