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LATEST NEWS


9/14/2023 • Posted by Provider Relations
In an effort to positively impact the health and wellness of our members, Fidelis Care recently sent providers a listing of patients who are non-compliant with their asthma medications.
9/12/2023 • Posted by Provider Relations
Fidelis Care would like to remind providers of the New York State APG Ancillary Policy when submitting APG claims. Please reference the links below for more detailed information.
9/12/2023 • Posted by Provider Relations
A DRG or Diagnosis Related Group is a mechanism used for payment by payers and certain facilities such as short-term acute care hospitals, long-term acute care hospitals, acute inpatient psychiatric hospitals, and acute inpatient rehabilitation facilities.
9/8/2023 • Posted by Provider Relations
Fidelis Care has made changes to our Child Health Plus (CHP) Formulary. Some of the changes relate to quantity limitations, authorization requirements, as well as drugs being removed and added to the formulary.
9/8/2023 • Posted by Provider Relations
Fidelis Care would like to notify our providers that service Fidelis Care New Jersey members (previously WellCare of New Jersey) with updated information on where to send authorization requests and other important contact information.
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Member Renewal Information

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Authorization Resources

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

Electronic Transactions

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Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.