Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Important Fax Transmission Notice Regarding Authorization Requests
8/15/2025 • Posted by Provider Relations

To ensure timely processing and avoid delays, providers should limit all prior authorization fax transmissions to 75 pages or less. Faxes exceeding 75 pages may be delayed or fail to process, which could impact our ability to efficiently and comprehensively process the request.

 

Tips for Successful Fax Transmission:

  • Assure the fax is 75 pages or less in total, including cover page.
  • Only include information related to the specific request.  
  • Break large documents into multiple faxes (each under 75 pages).
  • Label each part clearly (e.g., “1 of 3,” “2 of 3,” etc.).

 

Fax Numbers for Utilization Management Authorization Requests:

  • Physical Health - (800) 860-8720
  • MLTC – (833) 710-1772
  • Behavioral Health –
    • Mental Health - (833) 561-0094
    • Substance Use Disorder – (833) 663-1608

 

For additional questions, or if we can be of assistance in any way, please call Fidelis Care Provider Services at 1-888-FIDELIS (1-888-343-3547), or 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

Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans 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.