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12/31/2019 • Posted by Provider Relations
The following section of the Fidelis Care authorization grids has been updated effective February 1, 2020.
12/31/2019 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2019 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal). This information is indicative of all encounter data on file with Fidelis Care as of 11/13/2019.
12/23/2019 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective January 1, 2020.
12/17/2019 • Posted by Provider Relations
Attention: 835/ERA Direct Recipients Only. In an effort to streamline Electronic Remittance Advice (835/ERA) delivery, Fidelis Care is asking our current direct recipients to request delivery through their preferred clearinghouse.
12/13/2019 • Posted by Provider Relations
Fidelis Care is pleased to announce the launch of a new and innovative Musculoskeletal Surgical Quality and Safety Management Program on December 23, 2019.
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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. 

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