Welcome, Providers!

 

LATEST NEWS


Electronic Remittance Advice (ERA) Recipient
3/22/2019 • Posted by Provider Relations

This communication is to inform you that a change in the format of Fidelis Care's 835 (ERA) will take place on 3/28/2019.  This update is informational only and will not affect receipt of your 835 files.

ERAs delivered by Fidelis Care will no longer have the Bank Routing information in the BOP segment BPR09.

All other information will remain the same.

Current 835O files:  BOP**01*021001088*DA*021001088: 660873397*
Future 835O files:  BOP**01*021001088*DA*660873397*

This change is a result of updates to our adjudication system.  Please let us know if you have any feedback.

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.