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LATEST NEWS


Find Your Designated Fidelis Care Provider Relations Specialist
4/11/2024 • 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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Invitation to Fidelis Care’s April Provider Office Hours
4/11/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in April 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
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New! Authorization Appeal Function Now Available on the Fidelis Care Provider Portal
4/10/2024 • Posted by Provider Relations
Fidelis Care is pleased to announce another new functionality in the Provider Portal, allowing providers to submit authorization appeals electronically.
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Essential Plan 200-250 Claim Submissions
4/10/2024 • Posted by Provider Relations
Fidelis Care would like to share important information pertaining to claim submissions for the new Essential Plan 200-250 plan.
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Most Recent 2024 QARR/HEDIS Gap Report Now Available
4/3/2024 • 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 this site.
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Fidelis Care Pharmacy Benefits
4/3/2024 • Posted by Provider Relations
Fidelis Care’s Pharmacy Services would like to provide further clarification on how medications are covered under member’s medical and pharmacy benefits.
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Provider Access Online

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

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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.

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Join Our Network

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

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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