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LATEST NEWS


4/16/2021 • Posted by Provider Relations
Fidelis Care is pleased to announce that authorization letters are now available on our Provider Portal, Provider Access Online.
4/15/2021 • Posted by Provider Relations
On April 13, 2021, the Centers for Disease Control (CDC) and the U.S. Food and Drug Administration (FDA) announced they are currently reviewing data involving six reported U.S. cases of a rare and severe type of blood clot in individuals after receiving the Johnson & Johnson vaccine. Out of an abundance of caution, they have recommended a pause in the use of the Johnson & Johnson vaccine as they review this data.
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.
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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.