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Effective May 1, 2022, Authorization Status Will Transition to Self-Service Function
4/1/2022 • Posted by Provider Relations

Beginning May 1, 2022, all Fidelis Care providers inquiring about an authorization status will need to use the Authorization Search function on Fidelis Care’s Provider Portal, Provider Access Online. By using the Authorization Search function, your staff can quickly get the real-time status of an authorization, and submit any additional documentation if needed.

Authorization status information will no longer be available by contacting the Call Center. 

To help ease this transition, Fidelis Care recommends your office staff review our Provider Access Online resources, including new video tutorials, at fideliscare.org/PAO. Account Administrators should also use this time to look over the level of access given to staff and adjust accordingly. To perform authorization status searches, staff members need to be granted Authorizations Viewer access. Visit fideliscare.org/PAO for more information on managing Provider Access Online user roles.

 

To check the status of an authorization request:

  1. Use the menu on the left of the Provider Access Online home page to navigate to the Authorizations Status screen.
  2. Authorizations that you have created and saved in the last 90 days will be displayed in the ‘Authorizations Submitted Online (last 90 days only)’ view.
  3. A 9-digit authorization number is automatically assigned by the system when a user ‘Saves’ an authorization. Use the authorization number hyperlink to view the authorization details for one specific authorization.
  4. If your authorization was created more than 90 days ago, you will need to search for it. Click the ‘Search All Authorizations’ link to begin your search. Enter the member’s Subscriber ID number in the Subscriber ID field and click the Search button. After clicking the Search button, the Authorizations for that member will be displayed.

 

Provider Access Online, Fidelis Care’s Provider Portal, is an easy-to-use, secure, self-service platform that provides your office with 24/7 access to authorizations status, claims status, patient eligibility, plan benefits, and more.

If you have any additional questions regarding the self-service authorization status process, please contact our Provider Call Center at 1-888-FIDELIS (1-888-343-3547) or your local Provider Relations Specialist.

 

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Provider Access Online

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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.

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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.