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Your practice is already doing the work: screenings, chronic condition management, follow-up care, and documentation. The key is making sure that work is captured accurately, so it reflects the quality of care your team provides. The Fidelis Care Clinical Quality Optimization Team partners with providers and office staff to strengthen documentation, improve workflows, close care gaps, and support performance in HEDIS®, QARR, Medicare Star Ratings, and other quality measures. Why Providers Partner with Us Support is tailored to each practice and may include: Workflow, EHR, documentation, and coding optimization Care gap closure and quality measure strategies Provider and staff education based on practice

Fidelis Care will host three Provider Office Hours in October 2026. 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 October 2026 Topic: Fidelis Care – Tools and Resources Overview When:  Thursday, October 8th – 12PM – 1PM EST Click here to register*   Topic: Fidelis Care and Wellcare Quality Programs When:  Wednesday, October 21st – 10:30AM – 11:30AM EST Click here to register*

To support accurate and timely claims processing, providers are reminded not to submit a corrected claim until the original claim has completed processing and reached a finalized status. When a corrected claim is submitted for a claim that has not yet finalized, the submission will be rejected with code 6U – Unfinalized claim; replacement cannot be accepted. This rejection is intended to prevent duplicate or conflicting claim activity while the original claim is still under review in process. What Providers Need to Know Wait for the original claim to finalize before submitting a corrected claim. Corrected claims submitted before the original claim

As you may be aware, Section 12006 of the 21st Century Cures Act, along with CMS guidance, required states to implement Electronic Visit Verification (EVV) for Personal Care Services by January 1, 2021, and for Home Health Care Services by January 1, 2023. As of 2026, EVV requirements are fully implemented, requiring applicable services to be electronically verified and documented, including the member receiving care, caregiver, service location, date, and type of service provided.   Next Steps To ensure EVV data is accurately captured for providers delivering in-scope EVV services, Fidelis Care will require all providers — including existing EDI and Enterprise (ENT) providers — to submit