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IMPORTANT: 2019 HEDIS/QARR Medical Record Review Requests are Now Available!
1/22/2019 • Posted by Provider Relations

Fidelis Care is pleased to inform you that the medical record request letter and details for 2019 HEDIS/QARR have been posted on our Provider Portal, Provider Access Online (PAO).  Please review these materials and send the requested documentation to Fidelis Care or arrange for us to retrieve the records from your office as soon as possible.

Please notify any staff involved with Quality Management that these documents have been posted on PAO. If you have any questions, please call the Provider Call Center at 1-888-FIDELIS (1-888-343-3547).

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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. 

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