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LATEST NEWS


9/26/2019 • Posted by Provider Relations
The flu season is upon us (September through May each year) and Fidelis Care has posted a helpful influenza vaccination for adults (ages 18-64) tip sheet.
9/26/2019 • Posted by Provider Relations
New York State Department of Health (SDOH) and the National Committee for Quality Assurance (NCQA) have both stressed the importance of guiding children and adolescents towards healthy behaviors. SDOH and NCQA outline the importance of correct medical record documentation to assure that providers’ counseling efforts are acknowledged.
9/25/2019 • 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. Articles in this issue:
9/20/2019 • Posted by Provider Relations
As previously announced, Fidelis Care has engaged National Imaging Associates, Inc., a Magellan Healthcare Company, to implement a new prior authorization program to manage outpatient (office and hospital) habilitative and rehabilitative physical medicine services, including services rendered in the home, effective on October 1, 2019.
9/16/2019 • Posted by Provider Relations
Fidelis Care has released new functionality in Provider Access Online (provider portal), which allows a new user to request access to the provider portal directly through their Account Administrator. Request access to Provider Access Online to view the following information:
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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. 

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