Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Invitation to Fidelis Care’s January Provider Office Hours
12/14/2023 • Posted by Provider Relations

office hours

Fidelis Care will host two unique Provider Office Hours in January 2024. During the interactive Zoom sessions, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.

Provider Office Hours – January 2024

Topic: Back to Basics – Doing Business with Fidelis Care
When:  Tuesday, January 9th - 1 PM - 2PM
Click here to register

 

Topic: Claims Overview

When:  Thursday, January 25th - 3PM - 4PM
Click here to register


The Back to Basics session will include:

  • Introductions to the Provider Relations Team
  • Product Portfolio
  • Credentialing and Demographic Changes
  • Authorization Requirements
  • Vendor Information
  • Claims and Billing Information
  • Provider Tools & Resources
  • Quality and Marketing Overview

The Claims sessions will include:

  • Appeals Overview
  • Coordination of Benefits (COB) Information
  • Online Resources and Tools

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Relations Specialist.  To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.

We look forward to your attendance. 

 

Smiles-that-Shine

Provider Access Online

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

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

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.