Welcome, Providers!



Fidelis Care Provider Bulletin - Vol. 5, Issue 4 - Winter 2019-2020
1/6/2020 • Posted by Provider Relations

Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.

Articles in this issue:

  • HealthierLife Provides Members With Extra Benefits and Support
  • Clinical Preventive Services Guidelines
  • Surprise Bills and Balance Billing Not Allowed
  • Flu Season Runs Through May
  • Diabetes Management
  • Encourage Good Oral Health Practices in Children
  • Nutritional Counseling Coverage
  • Preventing Perinatal HIV Transmission
  • Infertility Services Coverage
  • Domestic Violence Screening
  • Lead Poisoning Prevention
  • Cardiovascular Disease a Leading Cause of Death
  • New Prior Authorization Vendor for PT, OT, ST
  • New Prior Authorization Vendor for Orthopedic and Spinal Surgical Procedures
  • Medicare Risk Medical Record Requests

Please download Fidelis Care Provider Bulletin - Vol. 5, No. 4 - Winter 2019-2020
To view our Provider Bulletin Library on this site, please visit:  Provider Bulletins 

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Important Information on Coverage Decisions

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

Fidelis Care does not reward providers or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff based on decisions that promote underutilization of services. 

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