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Friday • Posted by Provider Relations • in Provider News
To support accurate and timely claims processing, providers are reminded not to submit a corrected claim until the original claim has completed processing and reached a finalized status.
Thursday • Posted by Provider Relations • in Provider News
As you may be aware, Section 12006 of the 21st Century Cures Act, along with CMS guidance, required states to implement Electronic Visit Verification (EVV) for Personal Care Services by January 1, 2021, and for Home Health Care Services by January 1, 2023.
Thursday • Posted by Provider Relations • in Provider News
Recovery is possible. Treatment works. And as healthcare professionals, we play a critical role in helping individuals take the first step toward recovery.
Last Week • Posted by Provider Relations • in Provider News
The TurningPoint authorization grid has been updated effective October 1, 2026.
Last Week • Posted by Provider Relations • in Provider News
Effective October 1, 2026, first-level Utilization Management (UM) appeals for ENT and cardiovascular surgeries and procedures will be managed by TurningPoint, our specialty benefits management partner.
Last Week • Posted by Provider Relations • in Provider News
Fidelis Care is notifying providers of key updates to the Applied Behavior Analysis (ABA) Clinical Policy (FC.CP.BH.104)
Last Week • Posted by Provider Relations • in Provider News
Fidelis Care has updated its 30-Day Readmission Payment Policy which establishes reimbursement guidelines for hospital readmissions occurring within thirty (30) days of discharge.
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