Friday
• Posted by Provider Relations
Providers are required to maintain up-to-date demographic information to ensure efficient and timely processing of claims, accurate provider directory information, and appropriate contact information for communication. As a reminder to our Fidelis Care providers, please review your demographic information in the Provider Portal on a regular basis to ensure the provider data is accurate.
If you have any questions regarding the Provider Portal, or would like to submit your demographic changes in another format (fax, email, or delegated roster), please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.
Last Week
• Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in April 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
Provider Office Hours – April 2024
Topic: Back to Basics – Doing Business with Fidelis Care
When: Thursday, April 18th – 9AM – 10AM EST
Click here to register*
Topic: Provider Portal – Claim and Authorization Appeals
When: Thursday, April 25th - 3PM - 4PM EST
Click here to
Last Week
• Posted by Provider Relations
The Fidelis Care Provider Relations Department is committed to building strong and lasting relationships with our providers and their staff. To foster this partnership, we have assigned a Provider Relations Specialist to communicate important information and provide support to our providers.
Please be sure to reference our Contact Your Designated Provider Relations Specialist web page if you do not know the name of the specialist assigned to your provider group. To note, there are times that we adjust territory assignments to better serve our providers, so it important to periodically verify your assigned specialist.
If you are unable to determine the identity
Last Week
• Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health. At this time, The New York State DOH will only accept the approved training offered by the United States Department of Health and Human Services (HHS), Office of Minority Health education program, Think Cultural Health, to fulfill the requirement for provider annual cultural competency training.*
Once the cultural competency training has been completed, providers need to verify completion of the program by emailing the Cultural Competency Attestation Form to:
CulturalCompetencyTrainingAttestation@fideliscare.org.
The required Cultural Competency Training needs to be completed annually by December 31st. Providers that completed
Last Week
• Posted by Provider Relations
Fidelis Care is pleased to announce another new functionality in the Provider Portal, allowing providers to submit authorization appeals electronically. With this easy-to-use new tool, providers are able to submit inpatient and outpatient prior authorization appeals.
To Submit an Authorization Appeal:
Log in to the Fidelis Care Provider Portal with your User ID and Password.
Please note: Users will need Authorizations Viewer or Account Administration user roles to access authorization information.
Select Authorization Status located on the menu on the left side of the page.
On the Authorization Search page, click on Search All Authorizations. You can search by Subscriber ID, Authorization
Older Articles