Welcome, Providers!

 

LATEST NEWS


Suggested Billing Guidance for OASAS Part 820 Stabilization and Rehabilitation Treatment Services
1/10/2019 • Posted by Provider Relations

Recommended Bill Types*:  86X; 11X
Recommended Revenue Codes:  1002; 0902

Note:  some specific clearinghouses used by providers have additional edits on certain Bill Type / Revenue Code combinations and providers should work with their clearinghouse or billing vendors to ensure that any editing that prevents this combination is bypassed for successful submission to the plan.

*Providers are required to ensure they are billing distinctly and accurately for the range of services covered in their unique contract and work with their clearinghouse and/or billing vendor to adhere to established UB-04 coding guidelines.

Authorization Resources

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

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

Fidelis Care does not reward providers or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff based on decisions that promote underutilization of services. 

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

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.