Fidelis Care is pleased to announce that providers now have access the Availity Clinical Quality Validation (CQV) tool designed to help providers close care gaps quickly and accurately.

Reminder: Check Three Items to Verify Ambetter from Fidelis Care Member Eligibility

1/12/2026 • Posted by Provider Relations

Recent changes for the 2026 Health Insurance Marketplace may affect eligibility for members at health plans across the nation.

Provider Contact Center Alert: Call Volume

1/8/2026 • Posted by Provider Relations

We want to inform you that we are currently experiencing high call volumes in our Provider Contact Center, which are impacting wait times.

Special Supplemental Benefits for the Chronically Ill (SSBCI)

1/8/2026 • Posted by Provider Relations

Special Supplemental Benefits for the Chronically Ill (SSBCI) can be offered to Medicare Advantage (MA) members who have one or more complex chronic conditions, are at high risk for hospitalization or adverse health outcomes and require intensive care coordination.

Now Available: 2026 Capitation Schedule

12/29/2025 • 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.

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