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LATEST NEWS


Most Recent 2024 QARR/HEDIS Gap Report Now Available
7/31/2024 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2024 QARR/HEDIS Care Gap Report has been posted on Provider Access Online (provider portal).
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Update - Peer-to-Peer/Reconsideration Review Process
7/31/2024 • Posted by Provider Relations
Effective June 24, 2024, Fidelis Care implemented changes to our Peer-to-Peer process. In response to inquiries from our providers, we are providing the following clarification and reminder.
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NOTICE: Provider Portal Scheduled Outage July 19 and 20, 2024
7/19/2024 • Posted by Provider Relations
Fidelis Care would like to make providers aware of a scheduled outage of the Fidelis Care Provider Portal. Beginning at 10PM EST Friday, July 19, through 4PM EST Saturday, July 20, the Provider Portal will be unavailable due to an upgrade of supporting systems.
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NOTICE: Provider Portal Scheduled Outage July 19 and 20, 2024
7/12/2024 • Posted by Provider Relations
Fidelis Care would like to make providers aware of a scheduled outage of the Fidelis Care Provider Portal. Beginning at 10PM EST Friday, July 19, through 4PM EST Saturday, July 20, the Provider Portal will be unavailable due to an upgrade of supporting systems.
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Fidelis Care Provider Bulletin - Volume 10, Issue 3 – Summer 2024
7/10/2024 • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.
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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Log In

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

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Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Attestation Form

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

E-Transactions

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.

UM Resources