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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.

 

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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

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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.