Today
• Posted by Provider Relations
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.
When a corrected claim is submitted for a claim that has not yet finalized, the submission will be rejected with code 6U – Unfinalized claim; replacement cannot be accepted. This rejection is intended to prevent duplicate or conflicting claim activity while the original claim is still under review in process.
What Providers Need to Know
Wait for the original claim to finalize before submitting a corrected claim.
Corrected claims submitted before the original claim
Yesterday
• Posted by Provider Relations
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. As of 2026, EVV requirements are fully implemented, requiring applicable services to be electronically verified and documented, including the member receiving care, caregiver, service location, date, and type of service provided.
Next Steps
To ensure EVV data is accurately captured for providers delivering in-scope EVV services, Fidelis Care will require all providers — including existing EDI and Enterprise (ENT) providers — to submit
Yesterday
• Posted by Provider Relations
Recovery is possible. Treatment works. And as healthcare professionals, we play a critical role in helping individuals take the first step toward recovery.
At Fidelis Care, we recognize that substance use disorder (SUD) is a chronic, treatable medical condition. Yet despite advances in treatment and growing awareness, stigma remains one of the greatest barriers preventing individuals from seeking care, engaging in treatment, and sustaining recovery.
Through our End the Stigma Initiative, Fidelis Care is committed to promoting recovery, increasing access to evidence-based treatment, connecting members to supportive services, and providing physicians and healthcare professionals with tools and resources to better serve individuals
Tuesday
• Posted by Provider Relations
The TurningPoint authorization grid has been updated effective October 1, 2026.
The following codes have been added to the TurningPoint authorization grid and require prior authorization:
37254-37295 Lower Extremity Revascularization
92930 and 92945 Coronary Angioplasty/Stenting
Visit: Authorization Grids
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