2/12/2024
• Posted by Provider Relations
Fidelis Care is has been made aware that Ambetter from Fidelis Care and Essential Plan members received ID cards with incorrect billing information located on the back of the ID card.
2/9/2024
• Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2023 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal).
2/8/2024
• Posted by Provider Relations
In an effort to continue promotion of quality improvement for services provided to Fidelis Care members, as of January 1, 2024, Fidelis Care expanded its existing partnership with Evolent (NIA) to provide the management and prior authorization of non-emergent Musculoskeletal (MSK) procedures including: inpatient and outpatient hip, knee, shoulder, lumbar and cervical spine surgeries.
2/6/2024
• Posted by Provider Relations
Fidelis Care is pleased to inform you that the medical record request letter and details for 2023 HEDIS/QARR have been posted on our Provider Portal, Provider Access Online (PAO).
2/2/2024
• Posted by Provider Relations
Fidelis Care is pleased to announce a new Prior Authorization Requirement Lookup Tool to help improve the experience of providers. The new, web-based tools will help providers determine which procedure codes require pre-authorization for Medicaid (including Child Health Plus and HARP products), Medicare, Essential Plans, and Qualified Health Plans (Ambetter from Fidelis Care).
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