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LATEST NEWS


9/26/2024 • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in October 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
9/25/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective November 1, 2024.
9/18/2024 • Posted by Provider Relations
Fidelis Care would like to inform providers of Medicaid requirements when medical records are lost due to an unforeseen event.
9/17/2024 • Posted by Provider Relations
Fidelis Care would like to remind providers of claim submission guidelines regarding Coordination of Benefits (COB) for Essential Plans and Metal-Level products.
9/17/2024 • Posted by Provider Relations
Fidelis Care will host our Quality Provider Office Hours on September 24, 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
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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.