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LATEST NEWS


8/23/2019 • Posted by Provider Relations
Fidelis Care has partnered with the American Cancer Society (ACS), the New York State and City Departments of Health, and leaders of New York’s health care community to reduce the burden of cancer in New York.
8/5/2019 • Posted by Provider Relations
Fidelis Care has engaged National Imaging Associates, Inc., a Magellan Healthcare Company, to implement a new prior authorization program to manage outpatient (office and hospital) habilitative and rehabilitative physical medicine services, including services rendered in the home, effective on October 1, 2019.
8/2/2019 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective September 1, 2019.
8/1/2019 • Posted by Provider Relations
Fidelis Care has updated the required Provider Appeals Form for providers to use for submitting Administrative Reviews and Provider Appeal requests.
7/31/2019 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2019 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal). This information is indicative of all encounter data on file with Fidelis Care as of 06/17/2019.
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Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on many health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

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