Provider | Fidelis Care

Welcome, Providers!


LATEST NEWS


Charges for Personal Protective Equipment (PPE) by Participating Providers
8/7/2020 • Posted by Provider Relations

On August 5th, The New York State Department of Financial Services (DFS) posted Circular Letter #14 regarding Charges for Personal Protective Equipment (PPE) by Participating Providers.  PPE consists of personal protective equipment such as masks, gowns and gloves. The DFS letter reminds participating providers that they should not charge insured members fees that are above their responsibility for covered services.   

In adherence to the letter and the Fidelis Care Provider Manual, participating providers are reminded not to bill, seek, or accept payment from Fidelis Care members other than copayments, coinsurance, or deductible. Participating providers should contact Fidelis Care at 1-888-FIDELIS to report if charges have been inappropriately sought or collected from our members and begin issuing refunds to impacted members. 

Refer to the DFS website for further details via the link below:

https://www.dfs.ny.gov/industry_guidance/circular_letters/cl2020_14

 

Smiles-that-Shine

Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

 

 

 

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.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.