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Finding Helpful Information about Fidelis Care
3/9/2021 • Posted by Provider Relations

Providers, please remember to review content available in Provider Access Online (Fidelis Care's secure Provider Portal) and the rest of this Provider section of the Fidelis Care website.  Both locations are excellent resources of information about our programs and services.  One example of a resource contained in this site is our Provider Manual.  The Provider Manual contains details about our credentialing processes and our member rights and responsibilities statement.  It also includes information about the clinical criteria used in utilization management (UM) decision-making, our pharmacy authorization processes, and Fidelis Care's policy statement on how coverage decisions are made.

Other items you will find in the Provider section of the Fidelis Care website include information about referring members for case and disease management services.  If you have further questions regarding any of the content on the website, please contact us at 1-888-FIDELIS (1-888-343-3547).

Authorization Resources

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

Electronic Transactions

Submit claims electronically with Fidelis Care.

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Provider Access Online

Verify member eligibility, check claims, and more.

Submit Authorization Requests

Utilization management systems available to submit authorization requests.