The Fidelis Care Blog

Men’s Health Month in June is an excellent time to remind the men in our lives to focus on their wellness. It’s important for men to have a primary care provider and to get a checkup every year, even if they feel well. Many men don’t see a doctor unless they really need to. Men often say they feel fine, are too busy, or will get around to it “sometime.”

To promote community health and wellness and the importance of staying connected with friends and neighbors, Fidelis Care has announced dates for its annual Unity street festival series. Beginning with the original “Unity in the Heights” event in 2011, the series has expanded across the state with a variety of local partners.

As a first-generation immigrant from China, I have lived in the beautiful United States for 24 years. For 18 of those years, my stethoscope has touched the heartbeat of New York City where nearly 15 percent of its population is of Asian heritage.

The hot summer months mean more time spent near and in the water. Water safety is important for children and adults. Here are some tips to help you safely enjoy the water: • Always watch children while they are swimming or near water. Never leave children alone near water. A child or weak swimmer can drown in less than a minute. • Teach children to always ask before they go in the water.

Did you know people with diabetes are more at risk for eye diseases? If you have diabetes, get your eyes checked every year. It is an important way to take care of your health. Finding and treating diabetic eye diseases early can lower the chance of severe vision loss by 95%.

History is made of fine details that form a much larger picture. These intricate lines and strokes shape who we are. February commemorates the rich Black history that has allowed me to stand in my achievements today. This month reminds me of my mission: to pour into my community.

Fidelis Care is committed to strengthening our partnership with providers and enhancing the overall experience when addressing claims related concerns. As part of this ongoing effort, we are introducing a new Fidelis Care Claims Inquiry Template, which will be required beginning March 1, 2026 for all claims inquiries submitted after the standard appeals process has been completed.

Fidelis Care would like to remind our provider community of the required protocols for submitting corrected claims and to clarify how these differ from appeals. Following these guidelines helps ensure timely and accurate claims processing.

The New York State (NYS) Department of Health has applied to participate in the federal Centers for Medicare and Medicaid Services (CMS) Cell and Gene Therapy (CGT) Access model.

Fidelis Care would like to inform providers that evaluation and management (E&M) services billed on a facility claim with treatment room revenue codes are not eligible for reimbursement. Evaluation and Management procedure codes represent the professional service – the physician or qualified provider’s time, assessment and decision- making.