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Final Reminder: Claims Status Will Transition to Self-Service Function on November 15, 2022
11/14/2022 • Posted by Provider Relations

Beginning November 15, 2022, all Fidelis Care providers inquiring about claims status will need to use either Fidelis Care’s Provider Portal, Provider Access Online, or our Interactive Voice Response (IVR) system at 1-888-FIDELIS (1-888-343-3547).

 

By using either of these tools, your staff can quickly and easily learn the status of your claims.

 

Claims Status information will no longer be available by contacting the Call Center. 

 

To help ease this transition, Fidelis Care recommends your office staff review our Provider Access Online resources, including new video tutorials, at fideliscare.org/PAO. Please remember your staff members need to be granted Claims Information Viewer access to perform a Claims Search on Provider Access Online.

 

To Check Claims on Provider Access Online

1) Once logged in to the secure portal, use the menu on the left to navigate to the “Claims” screen.

2) Select how you want to search for the claim from the drop-down menu. You can choose:

  • Subscriber ID
  • Claim ID
  • Medicaid ID/CIN
  • Medicare ID
  • Patient Account Number
  • Provider NPI

3) Type the requested information in the selected field, enter the date range for the claims that you want to check, and click on Search.

4) All claims for the date range that you selected will be listed, and the statuses of the claims are listed on the right.

5) Click on an individual Claim ID for more information, including the Claim Summary, Payment Details, and Claim Line Items.

6) Click on a Claim Line Item, and you will get full details on the item.

 

To Check Claims on the IVR Application

To access the IVR application, call 1-888-FIDELIS (1-888-343-3547) and follow the prompts for “Claims Status.” Upon entering the Claims Status menu option, you will be asked to enter the following information to obtain claims status:

  • Employee Identification Number (EIN) or Tax Identification Number
  • Fidelis Care Member Identification Number
  • Member’s Date of Birth (format must be --- XX/XX/XXXX)
  • Date of Service (format must be --- XX/XX/XXXX)

Learn More: IVR Application

 

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

 

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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.

Provider Access Online

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

Utilization Management (UM)

Find information and links to external vendor authorization programs as well as links to internal Fidelis Care prior authorization resources.

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