Welcome, Brokers!

Fidelis Care would like to remind providers of the importance of using the appropriate submission process when requesting an expedited authorization review.

Our provider portal is designed to support standard authorization requests only. At times, authorization requests submitted through the portal include clinical documentation indicating the request should be reviewed on an expedited basis. Because expedited requests require a different review pathway and turnaround time, submitting these requests through the standard portal workflow may result in delays and can impact timely processing.

• If a request meets criteria for expedited review, please follow the expedited authorization submission process outlined in the Provider Manual and authorization guidelines. Expedited authorization requests may be submitted by fax to 1-800-860-8720 or electronically through Availity.
• Use the provider portal for standard authorization requests only.

Before submitting an authorization request, please verify whether the member's clinical condition warrants an expedited review and ensure the request is submitted through the appropriate channel.

By utilizing the correct submission process, providers can help ensure timely review of urgent requests, support regulatory compliance, and promote the best possible experience for members and providers alike.

If you have additional questions regarding authorization submission requirements, 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 visit Contact Your Designated Provider Relations Specialist.