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Starting January 1, 2025, Fidelis Care will provide outpatient behavioral health benefits to NJ FamilyCare members. Learn more about the behavioral health benefit changes (PDF).

Fidelis Care Transitions to Availity Essentials

July 22, 2025

Fidelis Care has chosen Availity Essentials as its new, secure provider portal. Starting Oct. 1, 2025, if you are already working in Essentials, you can log in to your existing Essentials account to enjoy these benefits for Fidelis Care members:

  • Submit eligibility & benefits inquiries with access to member ID card.
  • Manage authorizations and referrals.
  • Use InterQual within your authorization workflow to help facilitate the authorization review process.
  • Submit claims and encounters.
    • Get real-time responses on professional and facility claims, along with encounters.
    • EDI reporting (as needed for your organization).
  • Make claim corrections and view remittance advice.
  • Access clinical applications - Clinical Quality Validation (CQV) and Risk Condition Validation (RQV) and PCP notifications.
  • Look for additional functionality in Fidelis Care’s payer space on Essentials and use the heart icon to add apps to My Favorites in the top navigation bar. Our current secure portal will still be available for other functions you may use today.
  • Access Manage My Organization – Providers to save provider information. You can then auto-populate that information repeatedly to eliminate repetitive data entry and reduce errors.

New to Availity Essentials?

If you are new to Availity Essentials, getting your Essentials account is the first step toward working with Fidelis Care on Availity.

Getting started: Designate an Availity administrator for your provider organization

Your provider organization’s designated Availity administrator is the person responsible for registering your organization in Essentials and managing user accounts. This person should have legal authority to sign agreements for your organization.

 

HOW DOES THIS IMPACT ME?

WHAT IS MY NEXT BEST STEP?

I am the administrator.

I am the designated Availity administrator for my organization.

Visit Register and Get Started with Availity Essentials to enroll for training and access other helpful resources.

I am not the administrator.

I am NOT the designated Availity administrator for my organization.

Your designated Availity administrator will determine who needs access to Availity Essentials on behalf of your organization and will add user accounts in Essentials.

 

I am not sure.

I am not sure who will be the designated Availity administrator for my organization.

Share this information with your manager to help determine who will be the designated Availity administrator for your organization.

We're excited to welcome you to Availity Essentials, helping you transform the way you impact patient care with Fidelis Care. If you need additional assistance with your registration, please call Availity Client Services at 1-800-AVAILITY (1-800-282-4548). Assistance is available Monday through Friday, 8 a.m. – 8 p.m. ET. For general questions, please reach out to your Fidelis Care Provider Engagement Representative.