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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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Provider Review of National Plan and Provider Enumeration System and Fidelis Care Demographic Data
7/14/2022 • Posted by Provider Relations

As a reminder to our Fidelis Care providers, please review your National Provider Identifier (NPI) data in National Plan & Provider Enumeration System (NPPES) as soon as possible to ensure the provider data is accurate. 

When reviewing the data in NPPES, please update the following:

  • Any inaccurate information in modifiable fields including provider name, mailing address, telephone and fax numbers, and specialty. 
  • Providers should also make sure to include all addresses where they are practicing and actively see patients and where a patient can call and make an appointment. 
  • Please remove any practice locations that are no longer in use.

Once you update your information, you will need to confirm it is accurate by certifying it in NPPES. Remember, NPPES has no bearing on billing Medicare Fee-For-Service. 

If you have any questions pertaining to NPPES, you may reference NPPES help at https://nppes.cms.hhs.gov/webhelp/nppeshelp/HOME%20PAGE-SIGN%20IN%20PAGE.html

 

In addition to reviewing NPPES, Fidelis Care is asking providers to review and verify their demographic information (locations, board certifications, hospital affiliations, etc.) on the Provider Portal.  Please take a few minutes to log onto https://providers.fideliscare.org/  and review your directory information.

If you have any questions regarding the Provider Portal, please contact your Fidelis Care Provider Relations Specialist, or connect with our Call Center at 1-888-FIDELIS (1-888-343-3547).


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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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