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LATEST NEWS


Fidelis Care Authorization Grids Effective August 1, 2020
Wednesday • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective August 1, 2020.
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Most recent 2020 QARR Non-compliance Report Now Available
Tuesday • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2020 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal).
Read More
Fidelis Medicare Advantage Members will have $0 cost share for Primary Care, Behavioral Health, and Telehealth Services for the rest of 2020
Last Week • Posted by Provider Relations
Effective July 1, Fidelis Legacy Plan is expanding our $0 cost share for members of Fidelis Medicare Advantage plans.
Read More
Important Updates Regarding Coronavirus COVID-19
Last Week • Posted by Provider Relations
Fidelis Care is closely monitoring the COVID-19 developments across New York State and is following guidance from the New York State Department of Health (SDOH) and Department of Financial Services (DFS).
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Important Authorization Update Regarding Covid-19
Last Week • Posted by Provider Relations
Fidelis Care anticipates that the DFS Insurance Circular Letter (regarding the suspension of certain utilization review and notification requirements) will expire on June 18, 2020.
Read More
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Authorization Resources

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

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Electronic Transactions

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Important Information on Coverage Decisions

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. 

Fidelis Care does not reward providers or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff based on decisions that promote underutilization of services. 

Fidelis Care is committed to ensuring that members have the care and services they need. 

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