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Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.

Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.

 

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LATEST NEWS


IMPORTANT: 2020MY QARR/HEDIS Medical Record Review – Second Requests are now Available!
3/11/2021 • Posted by Provider Relations

Fidelis Care is pleased to inform you that the medical record second request letter and details for 2020 HEDIS/QARR have been posted on our Provider Portal, Provider Access Online (PAO). Please review these materials and send the requested documentation to Fidelis Care as soon as possible.Thank you in advance for your cooperation on this important matter.  Should you have any questions or concerns, please do not hesitate to contact Fidelis Care’s Provider Call Center at 1-888-FIDELIS (1-888-343-3547).

Provider Actions

Please submit a copy of the member’s medical record and the completed Medical Record Request list with authorized signature and date through one of the following methods:

NEW PREFERRED METHOD

The Global Scape sFTP account is a new online tool that can be utilized to submit your medical records securely. All that is needed is your provider group name, email address(s), and contact name(s) for those who will have access to the account. Please contact your assigned Fidelis Care Provider Partnership Associate or Provider Relations Specialist to have your account setup. A pdf document with instructions will be sent by PR upon notifying them you would like to utilize this tool.

 

ALTERNATIVE METHODS

Fax:    1-877-644-5921

E-mail: QARRGMRO@fideliscare.org

Mail***: Fidelis Care

            Attention: QARR/HEDIS MEDICAL RECORDS

            31st Floor Room 3113A

            25-01 Jackson Ave.

            Long Island City, NY 11101

*** Please utilize mail only if you cannot send medical records by the other three methods.

 

ON-SITE RETRIEVAL

For those practices who cannot utilize the above options and require on-site assistance, please contact your Provider Partnership Associate or Provider Relations Specialist to discuss if on-site retrieval can be accommodated. 

 

ALL RECORDS SUBMITTED BY GLOBAL SCAPE sFTP, FAX, EMAIL or MAIL MUST BE RECEIVED BY April 16, 2021

 


Provider Bulletin Archives

Assisting providers in staying abreast of the latest trends, policies, and studies.

Provider Access Online

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

Authorization Resources

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

Social Care Network

Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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