Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Request Prior Authorizations and Check Status Online via Provider Access Online!
3/8/2019 • Posted by Provider Relations

As a reminder, Prior Authorizations can be requested online via Provider Access Online (provider portal), which is available 24 hours a day, 7 days a week.  Use the “self-service” authorization form to submit your requests online when it is convenient for you ~ with no hold or wait time!

Did you know you can also check the status of authorizations using the provider portal? With this option, you no longer have to call in to check the status.

To get started:

Sign up* or login:  Provider Access Online
Tip sheet here:  Provider User Guide - How to Request Online Authorizations
                                                                     - Checking Authorization Status
For assistance:   Contact the Provider Call Center at 1-888-FIDELIS (1-888-343-3547)

All Prior Authorizations can be submitted online, except the following:

Must be submitted via the appropriate fax line or by phone at 1-888-FIDELIS (1-888-343-3547):

     • Urgent Requests
        o    Initial Inpatient Rehabilitation can now be submitted online via provider portal
        o    Inpatient Emergency Room Admission Requests will soon be available to submit online via provider portal
     • Concurrent Requests
     • Pharmacy Medication Requests should be faxed using the prior authorization forms available here: 
        Pharmacy Services
     • Must be requested from eviCore via the eviCore Provider Portal, called in via 866-706-2108, or faxed in
        via 800-540-2406:
        Outpatient high-technology Radiology services, Non-Obstetrical Ultrasounds, diagnostic Cardiology
        services, and Radiation therapy services

*If you do not have a Provider Access Online user account established, and if you need assistance with setting up an account, please contact the Provider Call Center at 1-888-FIDELIS (1-888-343-3547).

 

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.