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Fidelis Care Provider Portal Self-Service Platform
9/16/2024 • Posted by Provider Relations

Provider Access Online, Fidelis Care’s Provider Portal, is an easy-to-use, secure, self-service platform that provides your office with 24/7 access to the patient information you need - from authorizations and claims status, to eligibility, plan benefits, and more.

 

Our Portal saves valuable time for your administrative staff and provides the answers and resources you’re looking for - any time, on demand.

 

Use the Portal to:

  • Follow claims and authorizations status in real time; and
  • Access patient rosters, remittances, quality reports, and downloadable letters, including:
  • Admission Approval Letter
  • Appeal Approved and Out-Of-Network Denied Letter
  • Appeal Decision Letter
  • Appeal Denial Decision Letter
  • Approval Letter
  • Approved Out-Of-Network and Appeal Denial Letter
  • Authorization Approved and Out-Of-Network Denied Letter
  • Authorization Request Extension Letter
  • Denial Letter
  • Exhausted Benefit Denial Letter
  • Partial Appeal Denial Letter
  • Partial Denial letter
  • Reconsideration Request Approval Letter
  • File claim and authorization appeals or reconsiderations

 

To help you get the most from Provider Access Online, we encourage you to refer to our Provider Access Online Resources Page.  


For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist. Thank you for being a valued Fidelis Care partner in the provision of quality care.

 

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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.