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- Organizing and summarizing search results for youTo navigate the Fidelis Care prior authorization process, follow these steps:
- Submit Requests Online: Use the Fidelis Care provider portal to submit prior authorization requests. This portal is available 24/7 for your convenience.
- Alternative Submission Methods: You can also submit prior authorizations via fax, electronically (e.g., through CoverMyMeds), or by phone.
- Acknowledgment Process: After submission, you may receive a response or a request for additional information. If you do not receive an acknowledgment within 15 days, you can call Provider Services at 1-888-453-2534 for inquiries.
For more detailed information, you can visit the official Fidelis Care website.
4 Sources Request Prior Authorizations and Check Status Online via
Mar 8, 2019 · 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. Use the “self …
Authorizations
Complete the appropriate Fidelis Care notification or authorization form for Medicaid. You can find these forms by selecting "Providers" from the navigation bar on this page, then selecting …
Forms
Access key forms for authorizations, claims, pharmacy and more.
Download and print this form to request prior authorization for medications covered by Fidelis Care. Fill out the form with member and prescriber information, medication details, diagnosis, …
- File Size: 236KB
- Page Count: 1
Personal Care Assistant/Medical Day Care Authorization Request Form Fax Completed Form to: 1-855-573-2346 . Adult Request . Pediatric Request. Group Request. Please check type of …
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