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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.
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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.
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.