As previously announced, Fidelis Care has engaged National Imaging Associates, Inc., a Magellan Healthcare Company, to implement a new prior authorization program to manage outpatient (office and hospital) habilitative and rehabilitative physical medicine services, including services rendered in the home, effective on October 1, 2019.
Fidelis Care has released new functionality in Provider Access Online (provider portal), which allows a new user to request access to the provider portal directly through their Account Administrator. Request access to Provider Access Online to view the following information:
As previously announced, the delegation of prior authorizations for orthopedic surgical procedures and spinal surgical procedures to TurningPoint Healthcare Solutions, LLC has been delayed until further notice and is pending New York State (NYS) approval*.
Fidelis Care’s contract with clearinghouse Post-n-Track (PNT data) has expired. Providers who currently use Post-n-Track to submit 837 claims will need to submit claims through another clearinghouse. Fidelis Care network providers, who submit 837 claims, can now submit claims to Fidelis Care through clearinghouse Availity - for free!
As a reminder, Prior Authorizations can be requested online via Provider Access Online (provider portal), which is available 24 hours a day, 7 days a week. Use the “self-service” authorization form to submit your requests online when it is convenient for you ~ with no hold or wait time!