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Now Available: 2023 Capitation Schedule
1/3/2023 • Posted by Provider Relations

As you know, Fidelis Care relies upon the receipt of membership information from the New York State Department of Health (SDOH) prior to issuing capitation payments. The date for receiving this information from the SDOH varies from month to month. In certain months, the availability of data may be delayed as much as one week. Nevertheless, Fidelis Care has historically made capitation payments as close to the first of each calendar month as possible. 

 

Presented below is Fidelis Care’s 2023 capitation check and Electronic Funds Transfer (EFT) schedule. Please refer to this to determine the timing of your monthly payment.  Over the years, we have strictly adhered to the schedule, however, these dates are subject to change pending membership data availability from SDOH.  Please note that 2023 EFT payments will be made in advance of the check mailing.

 

Capitation Month

EFT

Dates

Check Mailing

Dates

 

Capitation Month

EFT

Dates

Check Mailing

Dates

February

02/03/2023

02/10/2023

 

August

08/04/2023

08/10/2023

March

03/03/2023

03/10/2023

 

September

09/05/2023

09/11/2023

April

04/04/2023

04/10/2023

 

October

10/03/2023

10/10/2023

May

05/05/2023

05/10/2023

 

November

11/03/2023

11/10/2023

June

06/06/2023

06/09/2023

 

December

12/05/2023

12/08/2023

July

07/05/2023

07/10/2023

 

January

01/05/2024

01/10/2024

 

 

Fidelis Care supports the use of electronic transmissions for claims, remittance advices and payments in efforts to save paper and reduce costs. Fidelis Care encourages providers to contact their Provider Relations Specialist to learn how to sign up for EFT.

 

Providers who electronically submit claims for non-capitated services will, in most cases, receive their reimbursement faster than those submitting via paper claims. Fidelis Care receives electronic claims through multiple electronic data clearinghouses that expedite and guarantee receipt of claims data and accelerate processing time. Fidelis Care strongly encourages all providers to submit electronically and will assist in developing appropriate protocols to accept electronic claims.

 

Please visit fideliscare.org to read the latest news about Fidelis Care as well as special announcements for providers. Fidelis Care's provider portal enables facilities and practitioners to view member eligibility and benefit plan summary, verify PCP selection, conduct provider searches and review claim status 24 hours a day, seven days a week. These tools facilitate timely communication and provide administrative cost savings to your facility or practice. 

 

If you have any further questions, please contact your Provider Relations Specialist.

 

Fidelis Care is proud to be your health care partner.

 

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