The Fidelis Care Provider Portal is a comprehensive online platform designed to streamline healthcare administration and communication for medical professionals. This digital tool offers healthcare providers efficient ways to manage patient information, claims, and essential administrative tasks.

Official Links

• Provider Portal: https://providers.fideliscare.org/Login
• Provider Resources: https://www.fideliscare.org/Provider

What Providers Can Do

The Provider Access Online platform empowers healthcare professionals with multiple critical functionalities:

• Patient Information Management
• Claims Detail Review
• Eligibility and Benefits Verification
• Authorization Submissions
• Provider-Specific Document Downloads

Access and Login

Login Requirements

• Username
• Password

Account Creation

Providers without an existing account can:

• Submit an access request
• Contact Fidelis Care support

Key Features

Electronic Transactions

• Submit claims electronically
• Faster processing and reimbursement
• Streamlined administrative workflow

Utilization Management (UM)

• Access internal and external vendor authorization resources
• Comprehensive management tools

Social Care Network

Supports providers serving members in:

• Medicaid Managed Care
• HealthierLife (HARP)
• Fidelis Care at Home
• Wellcare Fidelis Dual Plus plans

Privacy and Security

While specific security details aren’t explicitly outlined, the portal emphasizes:

• Secure login process
• Protected access to sensitive patient information
• Compliance with healthcare data protection standards

Support and Contact

Provider Support

• Phone: 1-888-FIDELIS
• Online support through provider portal
• Provider Relations team available for assistance

Additional Resources

Cultural Competency

• Provider Attestation Statement available
• Training completion submission option

Authorization Resources

• Dedicated provider portal for authorization requests
• Comprehensive grid and documentation support

Recent Updates (as of August 2025)

Providers should note recent announcements:

• New EOB Reason Code for Claim Adjustments
• DRG Claim Review Initiative (Effective September 1, 2025)
• Medicare Prior Authorization Updates

Unprovided Information

Some details not explicitly covered in the source documents:

• Specific mobile app availability
• Detailed step-by-step login process
• Comprehensive security protocol specifics

The Fidelis Care Provider Portal represents a robust digital platform enabling healthcare professionals to efficiently manage patient interactions, claims, and administrative tasks with enhanced digital capabilities.

Note to Providers: Always verify the most current information directly with Fidelis Care support team.

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Disclaimer: Information accurate as of August 2025. Always confirm current details with official Fidelis Care resources.