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20.05.2024 • Posted by Provider Relations
Due to technical issues, providers may have been experiencing difficulty accessing Fidelis Care’s Provider Portal. Full functionality of the portal has now been restored. Please log in as you normally would. We appreciate your patience as we resolved the issue. If you have any questions, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist. Thank you for being a valued Fidelis Care partner in the provision of quality care.
17.05.2024 • Posted by Provider Relations
Fidelis Care is aware that some providers are having access issues with the Provider Portal.  The IT Team is actively working on a solution and we will advise you when the issues have been resolved.    For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist. Thank you for being a valued Fidelis Care partner in the provision of quality care.
15.05.2024 • 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. The Summary of Changes can be accessed from the main search page or any content product table of contents on the MCG website.  In addition, providers can review the Summary of Changes for the 28th edition content release. As a reminder, with the MCG Cite Guideline Transparency Tool, Fidelis Care can share clinical indications with providers. The tool is a secure resource that helps meet regulations around transparency
10.05.2024 • 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.  Please use this form to submit demographic changes under a singular TIN currently participating in the Fidelis Care network. In order to expedite the request, all fields on this form are required. If not complete, the request will be delayed. Once completed, the form can be submitted electronically to SMProviderAttestationUpdates@fideliscare.org. In the subject line of the email, please enter Demographic Change Request for "Your Provider/Group Name" in "Your County" (i.e. Demographic Change Request for ABC Healthcare Group in
03.05.2024 • 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:   Explanation Code        918 - Member Liability The member is responsible for these out-of-pocket cost share amounts. 919 - Non-Billable Cost Share Do Not Bill Member; for this scenario the member is not liable for the cost share as the amount paid to the provider meets the contractual reimbursement. 920 - Bill Cost Share to Medicaid For this scenario, the associated cost share needs to be billed
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