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Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.
Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.
Fidelis Care has updated the required Provider Appeals Form for providers to use for submitting Administrative Reviews and Provider Appeal requests. The Provider Appeals Form must be used if a claim has been processed and a remittance advice has been issued from Fidelis Care and the provider is requesting a review. Do not use for first time claims or corrected claims. All claim requests for reconsideration, corrected claims, or claim disputes must be received within 60 calendar days from the date of the remittance. Before submitting this required form, please be sure the form is completed in its entirety so that your request can be processed immediately. Currently, the form should be mailed as follows:
Correspondence Type:
Product:
Mail to Current Address:
Claim Administrative Reconsiderations
Claim Appeals
Medicaid Managed Care Child Health Plus Fidelis Care at Home (MLTC) HealthierLife (HARP)
Claims Department Fidelis Care 480 CrossPoint Pkwy. Getzville, NY 14068
MarketPlace: Qualified Health Plan Exchange Off Exchange Essential Plans
Medicare Advantage Medicare Dual Advantage
Assisting providers in staying abreast of the latest trends, policies, and studies.
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To submit prior authorization request types, use the Fidelis Care provider portal.
Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.
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