Credentialing Program

Fidelis’s credentialing program 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.

Select the appropriate practitioner credentialing application for your state from the links below.

Michigan Association of Health Plans Standard Practitioner Application

North Carolina Department of Insurance Uniform Application to Participate as a Health Care Practitioner

Texas Standardized Credentialing Application

For any questions about the credentialing process, contact Provider Relations at your Fidelis SecureCare plan.