Welcome, Providers!



2019 Prospective List for 4 Key QARR Measures
1/11/2019 • Posted by Provider Relations

Fidelis Care is pleased to provide information about four age-sensitive patient measures in 2019: Well Child Visit in First 15 Months of Life, Childhood Immunizations, Lead Screening in Children, and Adolescent Immunizations. Please review the member list on the Provider Portal and help ensure your patients receive the appropriate age-sensitive services by their birthday in 2019.

If you have any questions about the list and measure compliance, please call the Fidelis Care Provider Call Center at 1-888-FIDELIS (1-888-343-3547).

eviCore Healthcare

Access the eviCore utilization management system.

Electronic Transactions

Submit claims electronically with Fidelis Care.

Join Our Provider Network

Be part of the Fidelis Care mission. 

Important Information on Coverage Decisions

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

Fidelis Care does not reward practitioners or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff that would encourage decisions that result in underutilization of services. 

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

Learn about Fidelis Care's Quality Management Program

Provider Access Online

Verify member eligibility, check claims status, and more.

Provider Bulletin

Read the latest Provider Bulletin and browse the archives.

Manuals and Forms

Provider manuals, tip sheets, important forms, and applications.