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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 August Provider Office Hours
7/30/2025 • 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.

Provider Office Hours – August 2025

 

Topic: Fidelis Care – Back to Basics
When:  Thursday, August 14th – 12PM – 1PM EST
Click here to register*

 

Topic: Fidelis Care and WellCare Quality Programs
When:  Wednesday, August 20th – 10AM – 11AM EST
Click here to register*

 

Topic: WellCare Claims Overview
When:  Thursday, August 28th – 12PM – 1PM 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
  • Vendor Information
  • Claims and Billing Information
  • Provider Tools & Resources

 

The Quality Office Hours – Quality Initiatives session will include:

  • Importance of Directory Information
  • Quality Provider Web Page
  • Barrier Busters- Recommendations for Scheduling Patients/Gap Closure
  • Coding & Documentation Best Practices 
  • Data Submission Deep Dive:
    • SuDS
    • CPT II
    • Medical Records
    • ActiveDx 
  • 2025 CoC Program: Remediating Held Agendas
  • RxEffect: 2025 Bonus Program 

 

The WellCare Claims Overview session will include:

  • Claims Overview (Rejection vs. Denial)
  • Dispute vs. Appeal Review
  • Claims Reporting Templates
  • Provider Tools and Resources

 

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 Provider Partnership Associate. To find your designated representative, please click the links above.

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