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Invitation to Fidelis Care’s January Provider Office Hours
12/16/2024 • Posted by Provider Relations

Office Hours

Fidelis Care will host three Provider Office Hours in January 2025. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

Provider Office Hours – January 2025

Topic: Fidelis Care – Back to Basics
When:  Thursday, January 9th – 9AM – 10AM EST
Click here to register*

 

Topic: Claims and COB Overview
When:  Thursday, January 23rd – 2PM – 3PM EST
Click here to register*

 

Topic: Fidelis Care and Wellcare Quality Programs – Back to Basics
When:  Wednesday, January 29th – 2PM – 3PM EST
Click here to register*

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

 


The Back to Basics session will include:

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

 

The Claims sessions will include:

  • Appeals Overview
  • Coordination of Benefits (COB) Information
  • Online Resources and Tools

 

The Quality - Back to Basics session will include:

  • Quality Overview: Why is Quality Improvement Important? What are my Scores and Opportunities? What reports are available to me? How do I get involved with my PPA?
  • Differences between Provider Engagement Account Manager (PEAM) and Provider Partnership Associate (PPA)
  • Care Gap Reporting: Measure Overview and Member Details
  • Importance of APV/MWOV
  • New 2025 Provider Tip Sheets/Resources
  • CPT II Coding/CDI Webinars
  • Supplemental Data Submission Onboarding (SuDS) for MY2025
  • E-Connectivity Implementation

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Provider Partnership Associate. 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.