The Fidelis Care Blog

Managing diabetes can feel challenging — but you don’t have to do it alone. With the right care, daily habits, and support, you can live a healthy and active life. At Fidelis Care, we’re here to help you take meaningful steps toward better health.

Each November is Prematurity Awareness Month. A premature birth is a baby born before 37 weeks gestation. In the U.S., about one in 10 births are premature. Babies that are born preterm can face serious health problems, so maternal healthcare is important to reduce risk and help babies be the healthiest they can be because there is no single cause of preterm birth.

When someone you care about finds out they have breast cancer, it can be scary and confusing—for them and for you. You might not know what to say or how to help. But just being there for them can make a big difference. Here are some simple and kind ways to support a loved one during this tough time.

National Pharmacy Week is a time to recognize the vital role pharmacists play in healthcare. We are educators, advocates, and problem-solvers. We are part of the care team, and we are committed to improving members’ lives. As we celebrate the week, I’m proud to reflect on my journey as a pharmacist and the incredible work being done by the Fidelis Care pharmacy team to support our members.

Every year, during the first week of October, we celebrate National Primary Care Week. It’s a time to say “thank you” to the doctors, physician assistants, nurses, and healthcare teams that help keep us healthy every day

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.

Fidelis Care is pleased to announce the release of our 2025 Community Impact Report, a comprehensive look at how we worked together to make a difference in communities across New York State.