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Request Prior Authorization and Check Status Online via Provider Access Online!
9/10/2019 • 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 could 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:

                                             - 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 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).
 

 

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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.