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IMPORTANT! New Claims Correspondence Post Office Boxes
3/25/2020 • Posted by Provider Relations

Effective 5/1/2020, Fidelis Care is implementing three new post office (P.O.) boxes for certain provider claims correspondence*.  These new P.O. boxes, along with additional processes, will help to improve our receipt and inventory tracking of certain provider correspondence mail for claims processing efficiencies.

Please mail the specific correspondence types below to the new P.O. Boxes according to the member’s product as indicated:

*Excludes: New and corrected claims.  Please continue to send these as indicated in our provider manual.

Please share these new mailing addresses with your office and billing staff.

This new method will help us serve you better, enabling our staff to process submissions from any location as appropriate. Fidelis Care will continue to make these investments as part of our commitment to improving interfaces with our providers.  We are aware that implementing any type of changes during this time could be perceived as unnecessary strain. It is important to note that post 5/1/2020, if any of the previously mentioned correspondence is received at a legacy Fidelis Care address, we will redirect as necessary.

Fidelis Care is proud to be your health care partner. If you have any questions, please call the Provider Call Center at 1-888-FIDELIS (1-888-343-3547). We are here to help.

 

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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. 

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