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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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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will 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. 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.