Today
• Posted by Provider Relations
Fidelis Care would like to inform providers that we are unable to accept calls from Artificial Intelligence (AI) entities or other automated systems to verify claim status, obtain remittance information, or respond to any other inquiries. Fidelis Care representatives may only engage with a live person to verify PHI and ensure HIPAA compliance.
Providers are also encouraged to use the Fidelis Care Provider Portal to obtain needed information. For more information on the Provider Portal, please visit: https://www.fideliscare.org/Provider/Provider-Access-Online-Resources
For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To identify your designated representative, please
Friday
• Posted by Provider Relations
The following section of the Fidelis Care authorization grids has been updated effective July 1, 2026.
The following codes have been added to the Medicaid, CHP, Essential Plan, Ambetter Metal-Level Plans, and Medicare Authorization Grids and require prior authorization:
0636U Babesia (Babesiosis), antibody detection of 20 recombinant protein groups, IgG
0637U Babesia (Babesiosis), antibody detection of 20 recombinant protein groups, IgM
0638U Bartonella (Bartonellosis), antibody detection of 32 recombinant protein groups, IgG
0639U Bartonella (Bartonellosis), antibody detection of 32 recombinant protein groups, IgM
Visit: Authorization Grids
Last Week
• Posted by Provider Relations
Effective August 1, 2026, Fidelis Care will implement a Site of Care Optimization Program to promote cost-effective, high-quality care for members receiving infusion therapies enrolled in Essential Plans.
Under this initiative, providers will be asked to transition eligible members from outpatient hospital infusion settings to clinically appropriate home infusion or ambulatory infusion suite (AIS) options.
Infusion Providers: Visit fideliscare.org/Find-A-Doctor#/search for a complete list of contracted providers.
Program Highlights:
Focuses on therapies for conditions such as immune globulin disorders, Crohn’s disease, rheumatoid arthritis, psoriasis, multiple sclerosis, and rare diseases.
Supports improved access for members in rural or underserved communities.
Aligns with clinical and payer
Last Week
• Posted by Provider Relations
Fidelis Care will host four Provider Office Hours in July 2026. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
Provider Office Hours – July 2026
Topic: Fidelis Care – Back to Basics
When: Thursday, July 9th – 1PM – 2PM EST
Click here to register*
Topic: Fidelis Care and WellCare Quality Programs
When: Wednesday, July 15th – 10:00AM – 11:00AM EST
Click
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