Fidelis Care Provider Phone: Find The Right Number

Navigating the Fidelis Care network as a provider can sometimes feel like a maze. Finding the right phone number to address your specific needs is crucial for efficient communication and timely resolution of issues. This article provides a comprehensive guide to all the essential Fidelis Care provider phone numbers, ensuring you connect with the right department quickly and easily. We'll cover everything from general inquiries to claims assistance, member eligibility, and more. Let's dive in and simplify your Fidelis Care experience.

1. General Provider Inquiries

For general questions or assistance related to Fidelis Care, the main provider services line is your first point of contact. This number can help you with basic information, directing you to the appropriate department, or answering common queries.

• Phone Number: 1-888-FIDELIS (1-888-343-3547)
• Hours of Operation: Monday to Friday, 9:00 AM to 5:00 PM EST

When to Use This Number:

• Initial inquiries about joining the Fidelis Care network.
• General questions about Fidelis Care policies and procedures.
• Assistance with navigating the provider portal.
• Referral to specific departments or specialists.

2. Claims and Billing Assistance

Dealing with claims and billing can be complex. Fidelis Care offers a dedicated line for providers to address claim submissions, payment inquiries, and other billing-related issues. Accurate and timely billing is essential for maintaining a healthy practice, and this line ensures you receive the support you need.

• Phone Number: 1-888-FIDELIS (1-888-343-3547) and follow the prompts for claims and billing.
• Hours of Operation: Monday to Friday, 9:00 AM to 5:00 PM EST

When to Use This Number:

• Inquiries about claim status.
• Assistance with electronic claim submissions (EDI).
• Questions regarding payment discrepancies.
• Appealing denied claims.
• Requesting claim adjustments.

3. Member Eligibility Verification

Verifying member eligibility is a critical step before providing services. This ensures accurate billing and reduces the risk of claim denials. Fidelis Care provides a specific number for providers to quickly confirm a member's coverage and benefits.

• Phone Number: 1-888-FIDELIS (1-888-343-3547) and follow the prompts for eligibility verification.
• Online Portal: Eligibility can also be verified through the Fidelis Care provider portal.
• Hours of Operation: 24/7 via the online portal; phone support during regular business hours.

When to Use This Number:

• Confirming a member's active coverage.
• Checking specific benefit details.
• Verifying managed care enrollment.
• Understanding copays, deductibles, and coinsurance.

4. Provider Enrollment

If you're looking to join the Fidelis Care provider network, you'll need to contact the provider enrollment department. This team can guide you through the application process, credentialing requirements, and contract negotiations. Joining a strong network like Fidelis Care can expand your patient base and streamline administrative processes.

• Phone Number: 1-866-435-9517
• Email: Send an email through the contact form on the Fidelis Care website.

When to Use This Number:

• Initiating the provider enrollment application.
• Inquiring about credentialing requirements.
• Understanding contract terms and conditions.
• Checking the status of your application.

5. Behavioral Health Services

For providers specializing in behavioral health, Fidelis Care offers a dedicated line to address specific needs related to mental health and substance use disorder services. This ensures that behavioral health providers receive specialized support and resources tailored to their practice.

• Phone Number: 1-888-FIDELIS (1-888-343-3547) and follow the prompts for behavioral health.

When to Use This Number:

• Authorizing behavioral health services.
• Inquiring about behavioral health benefits.
• Seeking guidance on treatment plans.
• Addressing specific billing inquiries related to behavioral health services.

6. Pharmacy Services

For questions related to pharmacy benefits, prior authorizations for medications, or formulary information, Fidelis Care has a dedicated pharmacy services line. This ensures that providers have access to up-to-date information on medication coverage and requirements. — Tennessee Game Today: Schedule, Scores & More

• Phone Number: 1-833-254-2907

When to Use This Number:

• Checking medication coverage and formulary status.
• Requesting prior authorization for medications.
• Inquiring about pharmacy claims.
• Understanding pharmacy-related policies and procedures.

7. Medicare and Medicaid Providers

Fidelis Care offers specific support lines for providers who serve Medicare and Medicaid members. These lines address the unique requirements and regulations associated with these government-sponsored programs.

• Medicare Providers: 1-888-FIDELIS (1-888-343-3547)
• Medicaid Providers: 1-888-FIDELIS (1-888-343-3547)

When to Use These Numbers:

• Inquiring about Medicare or Medicaid eligibility.
• Understanding specific billing requirements for these programs.
• Addressing program-related compliance questions.
• Seeking guidance on Medicare or Medicaid policies.

8. Provider Relations

For ongoing support and relationship management, Fidelis Care offers a provider relations team. This team serves as a liaison between providers and the health plan, addressing concerns, providing updates, and fostering a collaborative partnership.

• Contact: Reach out through the provider portal or contact your dedicated provider relations representative.

When to Use This Contact:

• Escalating unresolved issues.
• Providing feedback on Fidelis Care processes.
• Seeking assistance with complex cases.
• Attending provider meetings and training sessions.

FAQ Section

What is the main Fidelis Care provider phone number?

The main Fidelis Care provider phone number is 1-888-FIDELIS (1-888-343-3547). This number can direct you to various departments, including claims, eligibility, and general inquiries. — Budget Pergola Kits: Sides & Hidden Gutters

How can I verify a member's eligibility with Fidelis Care?

You can verify a member's eligibility by calling 1-888-FIDELIS (1-888-343-3547) and following the prompts for eligibility verification. You can also use the online provider portal for 24/7 access.

Where can I find information about Fidelis Care's pharmacy services?

For pharmacy-related inquiries, call 1-833-254-2907. This line can assist with formulary information, prior authorizations, and pharmacy claims. — Texas A&M Football Scores: Game Results & Updates

What if I have questions about claims and billing?

Call 1-888-FIDELIS (1-888-343-3547) and follow the prompts for claims and billing. This line can help with claim submissions, payment inquiries, and appeals.

How do I enroll as a provider with Fidelis Care?

To enroll as a provider, call 1-866-435-9517. The provider enrollment team will guide you through the application process and credentialing requirements.

Is there a specific number for behavioral health providers?

Yes, you can call 1-888-FIDELIS (1-888-343-3547) and follow the prompts for behavioral health services. This line addresses specific needs related to mental health and substance use disorder services.

Conclusion

Having access to the correct Fidelis Care provider phone numbers is essential for efficient practice management and optimal patient care. This guide provides you with a comprehensive list of key contacts for various departments, ensuring you can quickly address your specific needs. Keep this resource handy to streamline your Fidelis Care experience and focus on what matters most: providing quality healthcare. For further assistance, always refer to the Fidelis Care provider portal and stay updated on any policy changes. By staying informed and proactive, you can navigate the Fidelis Care network with confidence.