Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Yesterday • Posted by Provider Relations
Fidelis Care would like to share important information regarding improvements to our provider payment methods.
Friday • Posted by Fidelis Care
Fidelis Care celebrates National Healthcare Quality Week October 20 – 26, 2024. This week, we thank our doctors, social workers, nurses, and other healthcare professionals who make sure our members get the best care possible. We are also working to make things even better by listening to our members’ healthcare experiences to improve their quality of care. We are certified by the National Committee of Quality Assurance to ensure the quality of care you receive is always improving. Plus, we teach our members how to stay healthy with tips and resources. By focusing on detecting health problems early and preventing them, Fidelis Care helps our members stay healthy and avoid serious illness.
Last Week • Posted by Provider Relations
Fidelis Care has noted many recent requests for GLP-1 agonists (particularly Ozempic and Mounjaro) that appear to be intended for use outside of the FDA-approved indications for the product.
Last Week • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
Last Week • Posted by Provider Relations
Providers are required to maintain up-to-date demographic information to ensure efficient and timely processing of claims, accurate provider directory information, and appropriate contact information for communication.
Older Articles


 

Smiles-that-Shine

Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

 

 

 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.