Provider | Fidelis Care
Member
Providers
Shop For a Plan

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.

 

Latest Provider Bulletin

 


Provider Bulletin Archives ➔


2025-Provider-Bulletin-Fall_image


LATEST NEWS


Invitation to Fidelis Care’s March Provider Office Hours
3/8/2024 • Posted by Provider Relations

Office HoursFidelis Care will host two additional Provider Office Hours in March 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.

Provider Office Hours – March 2024

Topic: Back to Basics – Doing Business with Fidelis Care
When:  Thursday, March 21st – 12PM – 1PM EST
Click here to register*

 

Topic: Fidelis Care Quality Programs

When:  Thursday, March 28th - 3PM - 4PM EST
Click here to register*

 

*Attendance will be limited to the first 200 registrants for each session.

 


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

 

The Quality session will include:

  • Why Quality Matters
  • Consumer Assessment of Healthcare Providers & Systems (CAHPS)
  • Medicare Stars
  • Healthcare Effectiveness Data & Information Set (HEDIS)
  • Quality Assurance Reporting Requirements (QARR)
  • Fidelis Quality Incentive Program and Reports
  • WellCare Appointment Agendas (COC Program)
  • WellCare P4Q Program
  • CPT II Coding
  • RxEffect

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Relations Specialist for the Back to Basics session or your Provider Partnership Associate (PPA) for the Quality session. To find your designated representative, please visit Contact Provider Relations on our website.


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.

Join Our Network

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