Fidelis Care
Welcome to the Fidelis Care Health Plan page. Here you can download policies and procedures specific to both ordering and rendering providers. These include quick reference guides and information designed to assist you in using RadMD to request and check the status of prior authorizations.
If you have any questions about our programs, please contact your dedicated NIA Provider Relations Manager, Seth Cohen.
News and Updates
- Radiation Oncology/Advanced Imaging and Cardiac Services Expansion Letter
- Physical Medicine Expansion Letter
- Authorizations for Beginning and End of Year Benefit
- Peer-to-Peer Process
Physical Medicine Document
- Fidelis Care Physical Medicine Provider Training Power Point
- Fidelis Care Physical Medicine Frequently Asked Questions
- Fidelis Care Physical Medicine Quick Reference Guide
- Fidelis Care Physical Medicine Tip Sheet/Checklist
- Recording of Provider Training Session
Advanced Imaging/Cardiac Documents
- Fidelis Care Advanced Imaging Frequently Asked Questions
- Fidelis Care Advanced Imaging Tip Sheet
- Fidelis Care Advanced Imaging Checklist
- Fidelis Care Tip Sheet for MPI vs SE
- Fidelis Care Transthoracic Echocardiography (TTE)
- Fidelis Care Utilization Matrix 2022
- Fidelis Care Cardiac Checklist
- Fidelis Care Cardiac Tip Sheet
- Fidelis Care Cardiac Frequently Asked Questions
- Fidelis Care Quick Reference Guide for Ordering and Rendering Providers
- Fidelis Care Provider Training Power Point
- Conservative Treatment Form
- Recording of Provider Training Session
Radiation Oncology Documents
- Fidelis Care Radiation Oncology Utilization Code Matrix 2022
- Fidelis Care Radiation Oncology Provider Training Power Point
- Fidelis Care Radiation Oncology Frequently Asked Questions
- Fidelis Care Radiation Oncology Quick Start Guide
- Fidelis Care Radiation Oncology Therapy Treatment Transition of Care Form
- Recording of Provider Training Session
Radiation Oncology Checklists
- Anal Cancer
- Bone Metastatic Cancer
- Bone Primary Cancer
- Breast Cancer
- Central Nervous System (CNS) Metastatic Cancer
- Central Nervous (CNS) Primary Cancer
- Cervical Cancer
- Colon Cancer
- Endometrial Cancer
- Gastric Cancer
- Head and Neck Cancer
- Hodgkins Lymphoma Cancer
- Lung Cancer (Non Small Cell Lung)
- Lung Cancer (Small Cell Lung Cancer)
- Non-Hodgkins Lymphoma
- Other Cancer Type
- Other Metastatic Cancer
- Pancreas Cancer
- Prophylactic Cranial Irradiation (PCI)
- Prostate Cancer
- Rectal Cancer
- Skin Cancer
NIA Radiation Oncology Coding Standards - Effective 1/1/2022
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
RadMD Documents
RadMD is a user-friendly, real-time tool offered by Magellan Healthcare that provides ordering and rendering providers with instant access to prior authorization requests for specialty procedures. Whether submitting exam requests or checking the status of prior authorization requests, providers will find RadMD to be an efficient, easy-to-navigate resource.
Search for resources by program:
Recorded General Trainings
We have a series of training videos that discuss the components of requesting a prior authorization request. Click here to access these videos.
Recorded RadMD Demos
Need additional help using RadMD? Click here to access a series of RadMD demos that demonstrate how to properly submit a prior authorization request.
Clinical Guidelines
- Physical Medicine Guidelines
- Clinical Guidelines (active 10/1)
- Click here to view NIA’s Physical Medicine guidelines
Clinical Training Modules
We have a series of clinical training modules that will help you avoid delays and ensure that you have the right information before submitting your prior authorization request. Click here to access them.
Update on COVID-19
Click here to view our recommendations on the use of CT to detect Coronavirus (COVID-19).