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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.
As previously announced, the delegation of prior authorizations for orthopedic surgical procedures and spinal surgical procedures to TurningPoint Healthcare Solutions, LLC has been delayed until further notice and is pending New York State (NYS) approval*. In the interim, for services rendered on or after October 1, 2019, Prior Authorization will be required for orthopedic surgical procedures and spinal surgical procedures, for both inpatient and outpatient settings, through Fidelis Care’s Authorization Department via Provider Access Online (provider portal), Fax: (800) 860-8720, or Phone: (888) 343-3547. *When NYS approval is received, an updated message will be posted to announce the transition from Fidelis Care to TurningPoint Healthcare Solutions, LLC. To help prepare for this upcoming transition, Fidelis Care and TurningPoint Healthcare Solutions, LLC welcomes providers to attend an educational webinar. Be sure to register for a TurningPoint Surgical Quality and Safety Management provider webinar session as listed below. You will only need to attend one of these educational sessions. Sep 16, 2019 2:00 PM EDT: https://attendee.gotowebinar.com/register/6282229411598848012 Sep 17, 2019 11:00 AM EDT: https://attendee.gotowebinar.com/register/8641928699364299276 Sep 23, 2019 10:00 AM EDT: https://attendee.gotowebinar.com/register/1971872251342226701 Sep 24, 2019 1:00 PM EDT: https://attendee.gotowebinar.com/rt/2038190394374398731 Sep 25, 2019 1:00 PM EDT: https://attendee.gotowebinar.com/register/7607123330880277517 Sep 26, 2019 11:00 AM EDT: https://attendee.gotowebinar.com/rt/6224696365455646477 After registering, you will receive a confirmation email containing information about joining the webinar. If you need any further assistance regarding registering for a provider webinar or have any questions, please contact the Fidelis Care Provider Call Center at 1-888-FIDELIS (1-888-343-3547).
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Verify member eligibility or renewal status, check claims, send e-scripts, and more.
To submit prior authorization request types, use the Fidelis Care provider portal.
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.
Apply to our network and become a part of the Fidelis Care mission.