Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Urgent and Concurrent Authorization Request Submission Methods
6/11/2025 • Posted by Provider Relations

Fidelis Care would like to remind providers that Urgent and Concurrent Authorization Requests cannot be submitted through the Provider Portal, as this will cause delays in processing.

 

To expedite the processing of Urgent Requests, providers should submit requests through:

  • Availity Essentials, or
  • Fax the request labeled as “Urgent” directly to:
    • Physical Health - (800) 860-8720
    • MLTC – (833) 710-1772
    • Behavioral Health –
      • Mental Health - (833) 561-0094
      • Substance Use Disorder – (833) 663-1608

 

Urgent Concurrent Authorization Requests and Concurrent Authorization Requests should be submitted by:

  • Faxing the request labeled as “Concurrent” directly to:
    • Physical Health - (800) 860-8720
    • MLTC – (833) 710-1772
    • Behavioral Health –
      • Mental Health - (833) 561-0094
      • Substance Use Disorder – (833) 663-1608

 

To register for an Availity Essentials account, visit Register and Get Started with Availity Essentials.

 

For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.

 

Smiles-that-Shine

Provider Access Online

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

Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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.