Fidelis SecureCare of North Carolina Provider Manual

Credentialing
Credentialing Program
Fidelis has a comprehensive written credentialing program that has been established in
accordance with the standards of the National Committee for Quality Assurance
(NCQA) and applicable state and federal regulatory requirements. The program is
reviewed and revised at least annually.
All providers who fall under the scope of Fidelis Credentialing Program must meet the
minimum credentials, qualifications and criteria established by the Plan. The Fidelis
Credentialing Committee makes all decisions regarding provider participation in the
Fidelis network in accordance with Fidelis credentialing criteria.
Getting Credentialed with Fidelis SecureCare
Once you have completed the Fidelis Provider Information Form and executed the Network
Provider Collaboration Agreement, you may become credentialed with Fidelis in one of two
ways:
1. CAQH
a. FidelisSC is a registered organization of CAQH, a national credentialing
clearinghouse. Once you have provided your credentials to CAQH, they
will assign you a CAQH provider ID and also facilitate the credentialing
process with all of the payors / networks with which you wish to become
affiliated. Simply provide us your CAQH provider ID number and we will
access your application and begin our credentialing process.
2. If you prefer not to sign up with CAQH, then you must complete the
documentation identified in Appendix 2 and send it to Fidelis at the address or
fax below. Documentation must be received within 60 days of contract execution.
Provider Relations
Fidelis SecureCare
20 N. Martingale Road, Suite 180
Schaumburg, IL 60173
FAX: 866-852-3141