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LATEST NEWS


9/6/2018 • Posted by Provider Relations
As you know, prior authorizations can be requested online via Provider Access Online (Fidelis Care’s secure provider portal). Did you know you can also check the status of authorizations using the provider portal? With this option, you no longer have to call in to check the status.
9/5/2018 • Posted by Provider Relations
Beginning in September 2018, there will be an authorization requirement change for Fidelis Care at Home (FCAH) members who are also covered by a Medicare plan, which is the member’s primary coverage plan. Read more...
8/31/2018 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2018 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 7/16/2018.
8/23/2018 • Posted by Provider Relations
Two new behavioral health resources are now available on our website. These new resources were developed to highlight our Behavioral Health services and enhance our efforts around care transitions.   Please utilize the Peer/Support Groups and Social Support Resource Guide to assist in the coordination of members’ services by linking them to additional resources in their community.
8/9/2018 • Posted by Provider Relations
Fidelis Care is reminding providers that Prior Authorizations can be requested online via Provider Access Online (provider portal), which is available 24/7 ~ any time of the day or night.  For greater flexibility, use the “self-service” authorization form to submit your requests online when it is convenient for you ~ with no hold or wait time! To get started:
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Important Information on Coverage Decisions

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

Fidelis Care does not reward practitioners or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff that would encourage decisions that result in underutilization of services. 

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