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LATEST NEWS


1/11/2019 • Posted by Provider Relations
Fidelis Care is pleased to provide information about four age-sensitive patient measures in 2019: Well Child Visit in First 15 Months of Life, Childhood Immunizations, Lead Screening in Children, and Adolescent Immunizations.
1/10/2019 • Posted by Provider Relations
Recommended Bill Types*: 86X; 11X Recommended Revenue Codes: 1002; 0902
1/8/2019 • Posted by Provider Relations
Fidelis Care uses surveys to measure the quality of care given to our members, as well as their satisfaction, as required by law. Please take a moment to review the survey information here Patient Satisfaction Surveys.
1/8/2019 • Posted by Provider Relations
Some providers may not have received their QCMI performance reports.  We have identified the issue and are in the process of sending them out.  Fidelis will be mailing letters to affected providers with a copy of the performance report enclosed.
12/28/2018 • Posted by Provider Relations
Fidelis Care has made changes to our Medicaid Managed Care/Child Health Plus/HealthierLife; Metal Level; and Essential Plan Formularies. Some of the changes relate to quantity limitations, authorization requirements, as well as drugs being removed and added to the formulary.
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Important Information on Coverage Decisions

Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on numerous health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

Fidelis Care does not reward practitioners or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff that would encourage decisions that result in underutilization of services. 

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

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