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Fidelis Care Career Events


New EOB Reason Code for Claim Adjustments
Yesterday • Posted by Provider Relations • in Provider News
Fidelis Care would like to announce a new Explanation of Benefit (EOB) adjustment reason code that will be applied to claims where Fidelis Care has received a primary carrier payment.
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New DRG Claim Review Initiative – Effective September 1, 2025
Yesterday • Posted by Provider Relations • in Provider News
As part of our ongoing Payment Integrity Program, a new initiative will begin September 1, 2025.
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Medicare Prior Authorization Updates
Yesterday • Posted by Provider Relations • in Provider News
The following section of the Fidelis Care authorization grids have been updated effective September 1, 2025.
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Invitation to Fidelis Care’s August Provider Office Hours
Wednesday • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care will host three Provider Office Hours in August 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
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Fidelis Care Authorization Grids Effective September 1, 2025
Wednesday • Posted by Provider Relations • in Provider News
The following section of the Fidelis Care authorization grids have been updated effective September 1, 2025.
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REMINDER: Upcoming NYS Access and Availability Survey for Fidelis Care Providers
Last Week • Posted by Provider Relations • in Provider News
Fidelis care would like to inform all participating providers that we will be conducting an Access & Availability Survey in the coming weeks. This survey ensures that providers are meeting NYS mandated Access & Availability standards for all Fidelis Care members.
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Information on New York State’s Social Care Networks (SCN) Program
7/18/2025 • Posted by Provider Relations • in Provider News
As part of New York’s Medicaid Redesign Team (MRT) initiative, the NY 1115 Waiver introduced the Social Care Networks (SCN) Program, a transformative model focused on integrating social care into healthcare delivery.
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