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Welcome, Providers!

Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.

Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.

 

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LATEST NEWS


Invitation to Fidelis Care’s January Provider Office Hours
12/29/2025 • Posted by Provider Relations

Office Hours

Fidelis Care will host three Provider Office Hours in January 2026. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

Provider Office Hours – January 2026

Topic: Fidelis Care – Back to Basics
When:  Thursday, January 8th – 9AM – 10AM EST
Click here to register*

 

Topic: Fidelis Care and Wellcare Quality Programs
When:  Wednesday, January 21st – 10AM – 11AM EST
Click here to register*

 

Topic: Claims and COB Overview
When:  Thursday, January 22nd – 2PM – 3PM EST
Click here to register*

 

*Attendance will be limited to the first 300 registrants for each session.

 


The Back to Basics session will include:

  • Important Updates/Information
  • Product Portfolio
  • Credentialing and Demographic Changes
  • Authorization Requirements
  • Vendor Information
  • Claims and Billing Information
  • Restricted Recipient Program Overview
  • Provider Tools & Resources

 

The Claims sessions will include:

  • Claim Submissions
  • Appeals Overview
  • Coordination of Benefits (COB) Information
  • Online Resources and Tools

 

The Quality session will include:

  • Importance of Directory Information
  • Quality Provider Web Page
  • 2026 Medicare Pharmacy Overview & Changes
    • Benefits
    • Mail Order Express Scripts
    • Formulary Changes
    • Coverage
  • Quality Back to Basics Overview
    • Why is Quality Improvement Important? ​
    • What are my Scores and Opportunities? ​
    • What reports are available to me? ​
  • Care Gap Reporting​
    • Review of sample Care Gap Report ​
  • Measure Overview and Member Details

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Quality Improvement Specialist. To find your designated representative, please visit Contact Provider Relations or the Quality Information page on our website.


Provider Bulletin Archives

Assisting providers in staying abreast of the latest trends, policies, and studies.

Provider Access Online

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

Authorization Resources

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

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.