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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.

 

Latest Provider Bulletin

 


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LATEST NEWS


Fidelis Care Provider Portal Self-Service Platform
9/16/2024 • Posted by Provider Relations

Provider Access Online, Fidelis Care’s Provider Portal, is an easy-to-use, secure, self-service platform that provides your office with 24/7 access to the patient information you need - from authorizations and claims status, to eligibility, plan benefits, and more.

 

Our Portal saves valuable time for your administrative staff and provides the answers and resources you’re looking for - any time, on demand.

 

Use the Portal to:

  • Follow claims and authorizations status in real time; and
  • Access patient rosters, remittances, quality reports, and downloadable letters, including:
  • Admission Approval Letter
  • Appeal Approved and Out-Of-Network Denied Letter
  • Appeal Decision Letter
  • Appeal Denial Decision Letter
  • Approval Letter
  • Approved Out-Of-Network and Appeal Denial Letter
  • Authorization Approved and Out-Of-Network Denied Letter
  • Authorization Request Extension Letter
  • Denial Letter
  • Exhausted Benefit Denial Letter
  • Partial Appeal Denial Letter
  • Partial Denial letter
  • Reconsideration Request Approval Letter
  • File claim and authorization appeals or reconsiderations

 

To help you get the most from Provider Access Online, we encourage you to refer to our Provider Access Online Resources Page.  


For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. 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.

Join Our Network

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