Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Notice Regarding National Imaging Associates, Inc. (NIA) Authorization Submissions
10/5/2021 • Posted by Provider Relations

Fidelis Care and National Imaging Associates, Inc. (NIA) are aware of an issue finding rendering providers’ group names when submitting an authorization. Our teams are working on a solution. In the interim, ordering providers are asked to enter the name of a radiologist at the imaging facility instead of the imaging facility’s name. In order to find the radiologist, providers should perform a search on RadMD’s Rendering Provider screen using the radiologist’s name, city, zip code, or tax ID. Please ensure the radiologist’s address matches the imaging facility’s address. Any provider from the facility can be selected and it should not impact the authorization or claim.  As part of the resolution, Fidelis Care and NIA’s plan is to allow providers to enter requests under the group name.

 

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.