Welcome, Providers!

 

LATEST NEWS


9/2/2020 • Posted by Provider Relations
Fidelis Care is pleased to announce we have partnered with New Century Health (NCH) to implement a new oncology prior authorization program, Oncology Pathway Solutions. The program will make it easier for providers to effectively deliver quality patient care.
9/1/2020 • Posted by Provider Relations
Some Fidelis Care systems will be partially unavailable this weekend. The Secure Portals (Member and Provider Access Online) & IVR system will be unavailable during the time period.
8/31/2020 • 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). This information is indicative of all encounter data on file with Fidelis Care as of 8/17/2020.
8/28/2020 • 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).
8/28/2020 • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.
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Authorization Resources

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

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. 

Provider Access Online

Verify member eligibility, check claims, and more.

Submit Authorization Requests

Utilization management systems available to submit authorization requests.