Last Week
• Posted by Provider Relations
Fidelis Care is pleased to announce the launch of a new and innovative Surgical Quality and Safety Management Program, effective October 1, 2019*. The program is designed to work collaboratively with physicians to promote patient safety through the practice of high quality and cost-effective care for Fidelis Care members undergoing Musculoskeletal Surgical Procedures.
Last Week
• Posted by Provider Relations
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*.
8/2/2019
• Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective September 1, 2019.
8/1/2019
• Posted by Provider Relations
Fidelis Care has updated the required Provider Appeals Form for providers to use for submitting Administrative Reviews and Provider Appeal requests.
7/31/2019
• 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 06/17/2019.
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