Home / Fidelis Online Authorization Form On May 1, 2018
FIDELIS – ONLINE AUTHORIZATION FORM ON MAY 1, 2018
By May 1, 2018, providers will be able to request all inpatient and outpatient prior authorizations online*, including after-hours urgent inpatient mental health. This new online authorization form will be “self-service” and available to providers 24/7, which will allow for greater flexibility and convenience with no hold or wait time.
*Online prior authorization exceptions:
Urgent and Concurrent Requests cannot be submitted online.
Urgent and Concurrent Requests must be submitted via the appropriate fax line or by phone at 1-888-FIDELIS (1-888-343-3547).
Get ready and establish a Provider Access Online user account, if you have not yet.