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Welcome, Providers!

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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LATEST NEWS


Reminder: Pharmacy Claims Processing Change, Effective January 1, 2024
1/11/2024 • Posted by Provider Relations

Fidelis Care is pleased to announce that, effective January 1, 2024, Express Scripts® began processing pharmacy claims for our plan members.

Express Scripts is a pharmacy benefit management (PBM) company serving more than 100 million Americans. Express Scripts Pharmacy delivers specialized care that puts patients first through a smarter approach to pharmacy services.

Providers can direct members to call the Member Services phone number listed on their ID card should they have questions about this change. Alternatively, Fidelis Care has created an Express Scripts FAQ for providers to reference in order to assist members. The FAQ also includes information on mail order services for members that are currently using this method of delivery.

Please note that Acaria remains in network under Express Scripts as an option for your members Specialty Medication needs.

For additional questions, or if we can be of assistance in any way, please contact the Fidelis Call Center at 1 (888) 343-3547 (TTY: 711) or your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.

Thank you for being a valued Fidelis Care partner in the provision of quality care.


Provider Bulletin Archives

Assisting providers in staying abreast of the latest trends, policies, and studies.

Provider Access Online

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

Authorization Resources

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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