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LATEST NEWS


Attention Behavioral Health Providers – Response Requested
7/10/2024 • Posted by Provider Relations
Fidelis Care would like to remind providers to respond to a recent email sent to all behavioral health providers regarding a program evaluation and survey.
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Fidelis Care Provider Call Center Policy Regarding AI/Robo Calls
7/3/2024 • 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.
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Most Recent 2024 QARR/HEDIS Gap Report Now Available
6/28/2024 • 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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Fidelis Care Authorization Grids Effective August 1, 2024
6/27/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective August 1, 2024.
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New Peer-to-Peer/Reconsideration Review Process
6/27/2024 • Posted by Provider Relations
Fidelis Care is implementing changes to our Peer-to-Peer process.
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Invitation to Fidelis Care’s July Provider Office Hours
6/26/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in July 2024.
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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