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LATEST NEWS


Invitation to Fidelis Care’s May Provider Office Hours
5/2/2024 • Posted by Provider Relations

Office Hours

Fidelis Care will host two Provider Office Hours in May 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.

Provider Office Hours – May 2024

Topic: Back to Basics – Doing Business with Fidelis Care
When:  Thursday, May 9th – 12PM – 1PM EST
Click here to register*

 

Topic: Utilization Management

When:  Thursday, May 23rd – 9AM – 10AM EST
Click here to register*

*Attendance will be limited to the first 300 registrants for each session.

 


The Back to Basics session will include:

  • Introductions to the Provider Relations Team
  • Important Updates/Information
  • Product Portfolio
  • Credentialing and Demographic Changes
  • Authorization Requirements
  • Vendor Information
  • Claims and Billing Information
  • Provider Tools & Resources

 

The Utilization Management (UM) session will include:

  • Introduction to the UM Department and Roles
  • Inpatient Authorization Process
  • Obtaining Prior Authorization
  • Post Acute and Adverse Determination Process
  • Utilization Management Contact Information

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Provider Relations on our website.

 

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Provider Access Online

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

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.

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.