Provider | Fidelis Care

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LATEST NEWS


2/28/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2024.
2/27/2024 • Posted by Provider Relations
You asked and we listened! Fidelis Care is pleased to announce a new functionality in the Provider Portal, allowing providers to submit claims disputes electronically. With this easy-to-use new tool, providers are able to submit COB resubmissions, claims appeals, or claims reconsiderations.
2/27/2024 • Posted by Provider Relations
Fidelis Care is pleased to announce that the new Quality Care Incentives (QCI) Program is now available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.
2/22/2024 • Posted by Provider Relations
Fidelis Care would like to inform providers of an upcoming change to the Comprehensive Psychiatric Emergency Program (CPEP) rate code 4009 for Crisis Outreach Service Visits.
2/22/2024 • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.
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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.

Join Our Network

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

 

 

 

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.