Welcome, Providers!

 

LATEST NEWS


Clarification Regarding Update to Non-Obstetric Ultrasound Authorization Requirements
10/6/2021 • Posted by Provider Relations

Fidelis Care would like to remind our providers that non-obstetric ultrasounds, previously managed by vendor eviCore, no longer require prior approval. Please note that the only ultrasound authorizations that National Imaging Associates, Inc. (NIA) does manage is for echocardiogram and stress echocardiograms.

Further information can be found on our published authorization grids which have been updated for October 2021. Additionally, please refer to the Utilization Review Matrix supplied by NIA, which can be found under the vendor’s designated banner on the Submit Authorization Requests page of fideliscare.org.

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. 

Provider Access Online

Verify member eligibility, check claims, and more.

Submit Authorization Requests

Utilization management systems available to submit authorization requests.