Welcome, Providers!


 

LATEST NEWS


Yesterday • Posted by Provider Relations
March 30 is National Doctors Day, a time to recognize physicians for their dedication, contributions, and service. At Fidelis Care, doctors play an instrumental role in helping to fulfill our mission of transforming the health of the community, one person at a time.
Yesterday • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective May 1, 2023.
Wednesday • Posted by Provider Relations
As your health plan partner, Fidelis Care would like to share critical information about changes coming soon in Medicaid Managed Care, Essential Plan, Child Health Plus, HARP, and MLTC programs across New York State.
Monday • Posted by Provider Relations
As a part of our continuous quality improvement efforts, the Fidelis Care Provider Relations Department is seeking your feedback through a short survey that will be delivered via email.
Last Week • Posted by Provider Relations
As a reminder to our Fidelis Care providers, please use the mailing addresses below when submitting paper appeals, reconsiderations, and corrected claims. Using these addresses will help Fidelis Care process your claims more quickly and efficiently.
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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.