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Invitation to Fidelis Care’s March Provider Office Hours
2/28/2025 • Posted by Provider Relations

Office Hours

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

Provider Office Hours – March 2025

 

Topic: Fidelis Care – Back to Basics
When:  Thursday, March 13th – 9AM – 10AM EST
Click here to register*

 

Topic: Fidelis Care and Wellcare Quality Programs
When:  Wednesday, March 26th – 10:00AM – 11:00AM EST
Click here to register*

 

Topic: WellCare Claims Overview
When:  Thursday, March 27th – 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 Quality Office Hours – Quality Initiatives session will include:

  • Importance of Directory Information
    • Demographic Changes
  • Quality Provider Web Page
    • How to Find Your Provider Partnership Associate (PPA)
  • Annual Preventive Visits (APV)
    • Emphasis on patient outreach in Q1 2025
    • APV Campaign- Assistance in scheduling patients
  • Spotlight on Provider Partnership Opportunities
    • Overview with Dr. Jermel J. Hawkins
  • Priority Quality Measures to Target
    • OMW/BCS/COL/EED
    • New Measure Tip Sheets
  • Supplemental Data Submission- Data Capture
    • Implementation Guidelines
    • Onboarding for MY2025 SuDS
  • Pharmacy Highlight
    • Overview and updates from clinical pharmacy speaker
    • Medication adherence measures
    • Extended day supply

 

The WellCare Claims Overview session will include:

  • Claims Overview (Rejection vs. Denial)
  • Dispute vs. Appeal Review
  • Claims Reporting Templates
  • Provider Tools and Resources

 

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 click the links above.

 

Smiles-that-Shine

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.