Welcome, Providers!

 

LATEST NEWS


1/6/2020 • 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.
1/6/2020 • Posted by Provider Relations
For providers who participated in the 2018 Medicaid Chart Review, you can find the supplemental diagnosis codes that Fidelis Care submitted to the New York State Department of Health by logging in to Provider Access Online (provider portal).
12/31/2019 • Posted by Provider Relations
The following section of the Fidelis Care authorization grids has been updated effective February 1, 2020.
12/31/2019 • 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 11/13/2019.
12/23/2019 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective January 1, 2020.
Newer Articles
Older Articles


eviCore Healthcare

Access the eviCore utilization management system.

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 numerous health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

Fidelis Care does not reward practitioners or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff that would encourage decisions that result in underutilization of services. 

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

Learn about Fidelis Care's Quality Management Program


Provider Access Online

Verify member eligibility, check claims status, and more.

Provider Bulletin

Read the latest Provider Bulletin and browse the archives.

Manuals and Forms

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