Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


FREE Training Opportunity: Enhance Documentation and Increase Accuracy with the 2023 ICD-10 Coding Guidelines
11/4/2022 • Posted by Provider Relations

Fidelis Care is pleased to invite our provider groups’ clinicians and coders to attend a new training opportunity through Centene Corporation. The Centene Clinical Documentation Improvement (CDI) is offering free web-based trainings designed to enhance documentation and coding with the upcoming 2023 ICD-10 coding guidelines.  This initiative will assist your group for all contracted lines of business - Medicare, Marketplace and Medicaid.

 

Our sessions will include:

  • 2023 ICD-10-CM updates
  • Telehealth Guidelines – Medicare vs Marketplace
  • Learn how to avoid common documentation errors
  • The Role of Providers in Risk Adjustment
  • Overview of Risk Adjustment basics and why the process is so important

 

Please register for one of the following training options using the below links:

  • Tuesday, November 8, 2022 1PM Eastern Time (US and Canada)

https://centene.zoom.us/meeting/register/tJEvc-igpjgtGdYw_WYJPKKLYBMWhupaPNwG

  • Friday, November 11, 2022 10am Eastern Time (US and Canada)

https://centene.zoom.us/meeting/register/tJIqd-qgrj8iHdRVxINd4QV1fND4yvfwYhIB

  • Tuesday, November 15, 2022 10AM Eastern Time (US and Canada)

https://centene.zoom.us/meeting/register/tJcvc-GopjIuHdWC5el47zh-28SUQsNFf29Z

  • Wednesday, November 16, 2022 3PM Eastern Time (US and Canada)

https://centene.zoom.us/meeting/register/tJwpduGhqzIuHNaF3cv7xdS0DBWdIS0mLQx1

  • Thursday, November 17, 2022 5PM Eastern Time (US and Canada)

https://centene.zoom.us/meeting/register/tJEqcOusrzwjGtWQwcxYxvJrwqzNo1FpL8OR

  • Friday, November 18, 2022 10AM Eastern Time (US and Canada)

https://centene.zoom.us/meeting/register/tJ0kfuyopz0tGdRFmbu9eQ0KpKXAtEE2rZB6

 

After you have completed the training session, you will have the ability to request a chart review in which the CDI Team will send a list of 20 random members, obtain the 2022 date of service charts and review for documentation/coding deficiencies.  Once the review of charts is complete, education on opportunities will be discussed with an option to repeat the process in 6 months. If you do not request to have a sample chart review completed, there is no additional action required after the training has been completed.

 

Smiles-that-Shine

Provider Access Online

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

Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

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

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.