Welcome, Providers!

 

LATEST NEWS


7/16/2020 • Posted by Provider Relations
As your health plan partner, Fidelis Care would like to remind our providers of the mailing address for all claims related to Coordination of Benefits (COB) submissions.
7/13/2020 • Posted by Provider Relations
Fidelis Care’s Secure Portals will be experiencing an outage this weekend. The Secure Portals (Member, Provider, Client, Broker, Web Enrollment) will be unavailable during the time period.
7/1/2020 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective August 1, 2020.
6/30/2020 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2020 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal).
6/24/2020 • Posted by Provider Relations
Effective July 1, Fidelis Legacy Plan is expanding our $0 cost share for members of Fidelis Medicare Advantage plans.
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Authorization Resources

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

Electronic Transactions

Submit claims electronically with Fidelis Care.

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Important Information on Coverage Decisions

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

Fidelis Care does not reward providers or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff based on decisions that promote underutilization of services. 

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

Provider Access Online

Verify member eligibility, check claims, and more.

Submit Authorization Requests

Utilization management systems available to submit authorization requests.