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Bienvenidos, Corredores!

Fidelis Care atiende a más de 1,7 millones de niños y adultos de todas las edades, lo que nos convierte en uno de los planes de seguro médico más grandes del estado de Nueva York. Nos fundamos con la creencia de que todos los neoyorquinos deberían tener acceso a un seguro de salud asequible y de calidad, y nuestra misión de ayudar a los demás informa todo lo que hacemos. 

Últimas Noticias


Invitation to Fidelis Care’s November Provider Office Hours
10/23/2025 • Posted by Provider Relations in Provider News, Provider Quality

Office Hours

Fidelis Care will host three Provider Office Hours in November 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

Provider Office Hours – November 2025

 

Topic: Fidelis Care – Back to Basics

When:  Thursday, November 13th – 9AM – 10AM EST

Click here to register*

 

Topic: Fidelis Care and Wellcare - Quality Programs

When:  Wednesday, November 19th – 10 AM – 11 AM EST

Click here to register*

 

Topic: Fidelis Care – Pharmacy Overview

When:  Thursday, November 20th – 2 PM – 3 PM EST

Click here to register*

 

*Attendance will be limited to the first 300 registrants for each session.

 

The Back to Basics session will include:

  • Important Updates/Information
  • Product Portfolio
  • Credentialing and Demographic Changes
  • Authorization Requirements
  • Restricted Recipient Program (RRP) Overview
  • Vendor Information
  • Claims and Billing Information
  • Access and Availability Standards
  • Provider Tools & Resources

 

The Quality Office Hours session will include:

  • Importance of Directory Information
  • Quality Provider Web Page
  • End of Year Push for Medical Records
    • Fax/Email  
    • M365 Upload
    • WellCare Provider Portal
    • Remote Access to QIS
    • Onsite Chart Collection
  • CPT II Coding Opportunities
    • Increase CPT II Admin Ratio
  • Connectivity
    • SuDS
    • Bi-directional feed
  • 2025 CoC Appointment Agenda Program
    • Submit remaining Agendas
    • Remediate Held

 

The Pharmacy session will include:

  • Medication Formularies & Formulary Changes
  • Prescribing Guidelines & Fidelis Care Pharmacy 
  • Medication Prior Authorization Best Practices
  • Restricted Recipient Program (RRP) Overview

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Quality Improvement Specialist. To find your designated representative, please click the links above.

Broker Resources

Access forms, manuals, and other important documents and guides for Fidelis Care members. 

My Advocate

Help Fidelis Care members find and apply for money-saving programs. 

Transferencia Electrónica

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