Welcome, Providers!


 

LATEST NEWS


5/11/2021 • Posted by Provider Relations
Fidelis Care would like to remind our providers with multiple specialties of the importance of including the appropriate corresponding specialty taxonomy code when submitting claim forms.
4/30/2021 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective June 1, 2021.
4/30/2021 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2021 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal).
4/22/2021 • Posted by Provider Relations
Please note that the Fidelis Care QHCM/DRG Validation Department has relocated.
4/20/2021 • Posted by Provider Relations
The Centers for Medicare and Medicaid Services (CMS) requires that providers receive Medicare Special Needs Program (SNP) Model of Care (MOC) Training annually.
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Smiles-that-Shine

 

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.

Provider Access Online

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

Utilization Management (UM)

Find information and links to external vendor authorization programs as well as links to internal Fidelis Care prior authorization resources.

Join Our Network

Apply to our provider network and become a part of the Fidelis Care mission.