Provider | Fidelis Care

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LATEST NEWS


9/29/2023 • Posted by Provider Relations
Fidelis Care and Wellcare By Fidelis Care are pleased to inform you that we have contracted with the vendor, AdvantMed, to assist in facilitating the retrieval of medical records for our Risk Adjustment Retrospective Chart Review program.
9/29/2023 • Posted by Provider Relations
The following section of the Fidelis Care authorization grid has been updated effective November 1, 2023.
9/28/2023 • Posted by Provider Relations
Fidelis Care is aware that some providers are having access issues with the Provider Portal. The IT Team is actively working on a solution and we will advise you when the issues have been resolved.
9/15/2023 • Posted by Provider Relations
On Thursday, October 5, Fidelis Care will host another Provider Office Hours. During the interactive Zoom session, Fidelis Care staff from several departments will be available to share information, explain different resources, and answer your questions.
9/14/2023 • Posted by Fidelis Care
Fidelis Care would like to inform our providers of new fax numbers being used throughout the organization. Please begin using the fax numbers listed below immediately. This list is not a comprehensive list of all Fidelis Care fax numbers, it is only the fax numbers that have changed.
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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.