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Fidelis Care is pleased to announce that we have 3 new inpatient prior authorization fax forms available on this site. Be sure to fill out the forms completely with all relevant information to help us expedite the processing of your requests. The new forms below can be found on this site located under Provider Resources, click Manuals and Forms, click the Forms and Applications drop-down arrow, then scroll down to Treatment/Service Request Forms, or simply click the hyperlinks below: • Inpatient Emergency Room Request Form • Inpatient Rehabilitation Request Form • Concurrent Inpatient Rehabilitation Therapy Progress Review Request Form
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Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.
Apply to our network and become a part of the Fidelis Care mission.
Access the Provider Attestation Statement and submit completion of training.
To submit prior authorization request types, use the Fidelis Care provider portal.
Submit claims electronically for faster processing and reimbursement.
Find information and links to external vendor authorizations and to internal resources.