Welcome, Providers!



Wednesday • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective August 1, 2020.
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).
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.
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).
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.
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Authorization Resources

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

Electronic Transactions

Submit claims electronically with Fidelis Care.

Join Our Provider Network

Be part of the Fidelis Care mission. 

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.

Provider Bulletin

Read the latest Provider Bulletin and browse the archives.

Manuals and Forms

Provider manuals, tip sheets, important forms, and applications.