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Fidelis postpartum form 2026

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  1. Click ‘Get Form’ to open the fidelis postpartum form in the editor.
  2. Begin by filling in the Group Name and Provider Name at the top of the form. Ensure that all fields are completed accurately.
  3. Enter the Tax Identification Number, which is mandatory for processing. This ensures your submission is linked correctly.
  4. Fill in the Member's details: Name, ID Number, Phone Number, Date of Birth, Date of Delivery, and Estimated Due Date (EDC). Double-check these entries for accuracy.
  5. In the Postpartum Visit section, provide the date of the visit and weight. If applicable, indicate if there was a no-show.
  6. Check all relevant boxes for exams conducted during the visit and note any postpartum issues identified.
  7. Select whether breastfeeding or bottle feeding was discussed. Finally, ensure both provider signature and date are included before submission.

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Wellcare By Fidelis Care offers a range of Medicare plans to provide members with affordable access to the same great network of doctors, nurses, and specialists.
Fidelis Care offers free online claims submission through Inovalons claims portal. To learn more about Inovalon, call 1-888-499-5465 or visit .mdon-line.com/fideliscare. You also have the option to contact another clearinghouse to initiate 837-claim submission to Fidelis Care.
Our Representatives can answer your questions and assist you by phone. Call 1-888-FIDELIS; (1-888-343-3547); TTY: 711.
Support for Your Office If you have any Provider Access Online questions, or need help registering, check with your account administrator , contact your Fidelis Care Provider Relations Specialist, or connect with our Call Center at 1-888-FIDELIS (1-888-343-3547).
(888) 343-3547 Fidelis Care / Customer service

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