Welcome, Providers!



Seamless COVID-19 Care for Your Patients
9/30/2020 • Posted by Provider Relations

The COVID-19 global pandemic has created unprecedented changes to our lives and healthcare systems. While we continue to connect our members to COVID-19 services, we wanted to reach out to our provider partners on how we can work together to better support their care needs.

As a primary care physician (PCP), you are at the heart of our members’ healthcare. They trust and rely on you to help them access appropriate, affordable, coordinated care from the right providers, at the right time. Referring our members within their Fidelis Care network, as denoted on their Member ID card, can help keep medical costs down.

Understanding that it can sometimes be challenging to navigate multiple payor networks to connect patients to appropriate in-network providers and facilities, we want to share two easy methods for you to access this information quickly:

  • Search In-Network Providers using Find a Doctor Online. Our provider directory offers the current list of our in-network providers. You can also access our Provider Access Online portal.
  • Call Provider Services at (888) 343-3547. They can help you quickly identify in-network specialists and labs.

Thank you for your continued partnership during this time of heightened concern. If you have any questions regarding our networks, please contact Provider Services at (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.

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 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. 

Fidelis Care is committed to ensuring that members have the care and services they need. 

Provider Access Online

Verify member eligibility, check claims, and more.

Submit Authorization Requests

Utilization management systems available to submit authorization requests.