Welcome, Providers!



Yesterday • Posted by Provider Relations
Fidelis Care offers two, fast and efficient ways for your administrative staff to check the status of your claims 24 hours a day, seven days a week.
Yesterday • Posted by Provider Relations
Effective May 16, 2022, the need for Community Based Long Term Services and Supports (CBLTSS), including personal care services and Consumer Directed Personal Care Services (CDPAS, and enrollment into a Managed Long Term Care plan will be based on the completion of a Community Health Assessment (CHA) and Clinical Appointment (CA) by an Independent Practitioner who will complete a Physicians Order (PO) through New York State’s Independent Assessor (NYIA).
Tuesday • Posted by Fidelis Care
National Nurses Week is May 6-12. At Fidelis Care, nurses work to help people in many ways. Some nurses assist members leaving hospitals so that they won’t have to go right back in. Some help moms and babies with special needs in our BabyCare program.
Last Week • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective May 1, 2022.
5/2/2022 • Posted by Provider Relations
Fidelis Care has partnered with RxAnte to offer an innovative quality platform called RxEffect, enabling providers to improve medication adherence for Medicare patients.
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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.

Provider Access Online

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

Utilization Management (UM)

Find information and links to external vendor authorization programs as well as links to internal Fidelis Care prior authorization resources.

Join Our Network

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