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LATEST NEWS


Most Recent 2024 QARR/HEDIS Gap Report Now Available
12/30/2024 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2024 QARR/HEDIS Care Gap Report has been posted on Provider Access Online (provider portal).
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Find Your Designated Fidelis Care Provider Relations Specialist
12/30/2024 • Posted by Provider Relations
The Fidelis Care Provider Relations Department is committed to building strong and lasting relationships with our providers and their staff. To foster this partnership, we have assigned a Provider Relations Specialist to communicate important information and provide support to our providers.
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Fidelis Care Authorization Grids Effective February 1, 2025
12/30/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective February 1, 2025.
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Reminder: Fidelis Care Plan Updates for 2025
12/27/2024 • Posted by Provider Relations
Fidelis Care would like to inform our providers of plan changes that will be effective January 1, 2025.
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Invitation to Fidelis Care’s January Provider Office Hours
12/16/2024 • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in January 2025. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
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Provider Review of Fidelis Care Demographic Information
12/14/2024 • Posted by Provider Relations
Providers are required to maintain up-to-date demographic information to ensure efficient and timely processing of claims, accurate provider directory information, and appropriate contact information for communication.
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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Log In

Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

Learn More

Join Our Network

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

Apply Online

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Attestation Form

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

E-Transactions

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.

UM Resources