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LATEST NEWS


2/8/2024 • Posted by Provider Relations
In an effort to continue promotion of quality improvement for services provided to Fidelis Care members, as of January 1, 2024, Fidelis Care expanded its existing partnership with Evolent (NIA) to provide the management and prior authorization of non-emergent Musculoskeletal (MSK) procedures including: inpatient and outpatient hip, knee, shoulder, lumbar and cervical spine surgeries.
2/6/2024 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the medical record request letter and details for 2023 HEDIS/QARR have been posted on our Provider Portal, Provider Access Online (PAO).
2/2/2024 • Posted by Provider Relations
Fidelis Care is pleased to announce a new Prior Authorization Requirement Lookup Tool to help improve the experience of providers. The new, web-based tools will help providers determine which procedure codes require pre-authorization for Medicaid (including Child Health Plus and HARP products), Medicare, Essential Plans, and Qualified Health Plans (Ambetter from Fidelis Care).
1/31/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective March 1, 2024.
1/30/2024 • Posted by Provider Relations
Fidelis Care will host two unique Provider Office Hours in February 2024. During the interactive Zoom sessions, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
Newer Articles


 

Smiles-that-Shine

Provider Access Online

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

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

Join Our Network

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

 

 

 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

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

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

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