Fidelis Care Authorization Form - During the webinar, fidelis care staff will be available to share information, explain different resources, and answer your questions. Be sure to fill out the forms completely with all relevant information to help us expedite the processing of your requests. Fidelis care will notify you within 3 business days as to what determination has been made. To submit prior authorization request types, use the fidelis care provider portal. Effective october 1, 2019 (medicaid, essential, chp, and qualified health), october 1, 2021 (medicare and dual advantage) beginning october 1, 2021, fidelis care will be expanding our partnership with national imaging associates, inc. Web as a reminder, prior authorizations can be requested online via provider access online ( provider portal ), which is available 24 hours a day, 7 days a week. For provider manuals, forms and policies (including behavioral health request forms), please click here. Fidelis care is pleased to announce that we have 3 new inpatient prior authorization fax forms available on this site. Web online prior authorization request form for new york health insurance claims, provided by fidelis care. Web fidelis care will host two provider office hours in april 2024.
Web as a reminder, prior authorizations can be requested online via provider access online ( provider portal ), which is available 24 hours a day, 7 days a week. Web fidelis care physical medicine prior authorization quick reference guide for providers. During the webinar, fidelis care staff will be available to share information, explain different resources, and answer your questions. Effective october 1, 2019 (medicaid, essential, chp, and qualified health), october 1, 2021 (medicare and dual advantage) beginning october 1, 2021, fidelis care will be expanding our partnership with national imaging associates, inc. To submit prior authorization request types, use the fidelis care provider portal. Be sure to fill out the forms completely with all relevant information to help us expedite the processing of your requests. Web fidelis care will host two provider office hours in april 2024. For provider manuals, forms and policies (including behavioral health request forms), please click here. Fidelis care will notify you within 3 business days as to what determination has been made. Fidelis care is pleased to announce that we have 3 new inpatient prior authorization fax forms available on this site. Web online prior authorization request form for new york health insurance claims, provided by fidelis care.