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LATEST NEWS


MCG Cite Guideline Transparency Tool Upgrade Effective May 17, 2024
5/15/2024 • Posted by Provider Relations
Fidelis Care has been notified that the MCG Cite Guideline Transparency Tool will be upgraded to the 28th edition effective Friday, May 17, 2024. Providers can access this tool through the Fidelis Care Provider Portal.
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NEW! Provider Demographic Change Request Form Available
5/10/2024 • Posted by Provider Relations
In an effort to streamline provider demographic changes, Fidelis Care has created a new electronic Demographic Change Request Form for providers to use.
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Wellcare By Fidelis Care – Explanation Codes on Dual Access Remittances
5/3/2024 • Posted by Provider Relations
Fidelis Care would like to make you aware new explanation codes you may see on remittances for Wellcare By Fidelis Care Dual Access members.
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Fidelis Care Remittance Advice CARC/RARC Codes
5/2/2024 • Posted by Provider Relations
Fidelis Care would like to inform providers about upcoming changes to our remittance advice. Effective May 12, 2024, the Fidelis Care remittance advice will include Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC), along with a description of the codes.
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Invitation to Fidelis Care’s May Provider Office Hours
5/2/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in May 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
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Provider Access Online

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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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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

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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