Welcome, Providers!


 

LATEST NEWS


4/9/2021 • Posted by Provider Relations
Medicaid and HARP patients recently received a letter from Fidelis Care informing them that their pharmacy benefit was going to change from CVS Caremark to fee-for-service Medicaid effective May 1.
3/31/2021 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2021 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal).
3/26/2021 • Posted by Provider Relations
Fidelis Care is required by the New York State Department of Health to submit complete diagnostic data for Medicaid members for Risk Adjustment.
3/11/2021 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the medical record second request letter and details for 2020 HEDIS/QARR have been posted on our Provider Portal, Provider Access Online (PAO).
3/9/2021 • Posted by Provider Relations
Providers, please remember to review content available in Provider Access Online (Fidelis Care's secure Provider Portal) and the rest of this Provider section of the Fidelis Care website. Both locations are excellent resources of information about our programs and services. One example of a resource contained in this site is our Provider Manual.
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Smiles-that-Shine

 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

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

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Utilization Management (UM)

Find information and links to external vendor authorization programs as well as links to internal Fidelis Care prior authorization resources.

Join Our Network

Apply to our provider network and become a part of the Fidelis Care mission.