Welcome, Providers!

 

LATEST NEWS


9/20/2019 • Posted by Provider Relations
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.
9/16/2019 • Posted by Provider Relations
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:
9/13/2019 • Posted by Provider Relations
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*.
9/12/2019 • Posted by Provider Relations
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!
9/10/2019 • Posted by Provider Relations
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!
Newer Articles
Older Articles


eviCore Healthcare

Access the eviCore utilization management system.

Electronic Transactions

Submit claims electronically with Fidelis Care.

Join Our Provider Network

Be part of the Fidelis Care mission. 

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. 

Fidelis Care is committed to ensuring that members have the care and services they need. 

Provider Access Online

Verify member eligibility, check claims status, and more.

Provider Bulletin

Read the latest Provider Bulletin and browse the archives.

Manuals and Forms

Provider manuals, tip sheets, important forms, and applications.