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LATEST NEWS


9/27/2019 • Posted by Provider Relations
As your health plan partner, Fidelis Care would like to inform you of the following updates to help ensure accuracy in claims submissions. For COB Submissions Received without Claims Attached...
9/27/2019 • Posted by Provider Relations
In collaboration with the NY State of Department of Health (SDOH), Fidelis Care encourages providers to share this information with patients to help them quit smoking and stay smoke free.
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:
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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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