Fidelis Provider Portal
Fidelis Provider Portal
The Fidelis Provider Portal enables providers to easily submit claims, verify patient eligibility, track authorizations, and access important resources through a secure, user-friendly online platform.
The Fidelis Provider Portal, also known as Provider Access Online (PAO), is a secure and user-friendly digital platform created to support healthcare providers who serve Fidelis Care members. Through the portal, providers can check member eligibility, submit and track authorizations, view claims status, download remittance reports, and access key patient and practice information—available 24/7. The portal is designed to reduce administrative work and ensure timely, accurate access to care coordination tools for providers across New York and participating networks.
Claims & Authorizations Status
Get real-time updates on claims and authorizations—including summaries, payment details, and access to download official letters (e.g., approvals or denials)
Member Eligibility & Benefits Verification
Run quick searches for patients to view eligibility, benefits, and coverage details. Requires the Patient Information Viewer role.
Download Provider Documents
Access remittance letters, quality reports, rosters, and clinical documents via your PAO dashboard ﹘ all downloadable directly from the portal.
Electronic Claims and Authorization Appeals
Submit appeal requests and claim reconsiderations online, leveraging built-in vendor tools. Some emergency or inpatient appeals may still require fax submission.
Portal access is tiered according to role. Available roles include:
Account Administrator: Full access and controls user account roles
Authorizations Viewer: Submit/view authorization requests
Claims Viewer: Access claim search and status
Clinical/Patient Data Viewer: View patient and clinical information
Remittance Viewer and Patient Roster Viewer for PCPs
Visit: Fidelis Provider Portal
Click “Login” to access Provider Access Online.
If you're a first-time user, click “Register” and complete the form to request access.
Existing users can log in with their username and password.
After login, the Home Dashboard displays announcements, quick links, and access to core features.
Use the Eligibility Search Tool to verify patient eligibility and view benefit details.
Requires appropriate user role (e.g., Patient Viewer).
Navigate to the Authorizations section to submit new requests.
Upload clinical documentation and check real-time status updates.
Go to Claims Search to look up claims by ID, date of service, or member info.
View claim summaries, payment status, and submit reconsiderations if needed.
Access Remittance Advice, provider rosters, and clinical decision letters.
Documents are downloadable in PDF format from the portal.
Account administrators can manage user access and assign appropriate roles such as Claims Viewer, Authorizations Viewer, or Clinical Viewer.
Use the Resources tab to download provider manuals, authorization grids, and training guides.
Stay informed via the News & Updates section on the homepage.
Efficiency: Minimize phone or fax time—reduce administrative burden.
Transparency: View live data for claims, authorizations, and patient benefits.
Resource Access: Download documents, policies, forms, and training materials—everything you need in one spot.
Self-Service: Submit appeals and check statuses anytime, no need to wait.