Providers | Fidelis Care
Member
Providers
Shop For a Plan

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.


LATEST NEWS


Understanding NICU Billing and Revenue Codes
11/13/2026 • Posted by Provider Relations

Accurate billing of Neonatal Intensive Care Unit (NICU) services helps support timely and appropriate claim processing. Fidelis Care encourages facility providers to review key billing, coding, and documentation requirements when submitting inpatient claims for NICU services.

NICU room and board services should be reported using the appropriate revenue code:

  • 0172: Nursery-Newborn Level II
  • 0173: Nursery-Newborn Level III
  • 0174: Nursery-Newborn Level IV

Providers should maintain documentation that supports the services billed and reimbursement requested, including applicable claim information, itemized billing records, revenue code information, facility billing records, and contracted or negotiated reimbursement information.

For additional information, providers can review the NICU Level of Care Payment Policy (CC.PP.083).

 

Essential Plan blue teal brand accent

 

Latest Provider Bulletin

 


Provider Bulletin Archives ➔


2025-Provider-Bulletin-Fall_image


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.