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Log into your account, view patient information, and more.
Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.
Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.
Claim submissions for physician-administered drugs require a valid 11-digit national drug code (NDC) number. Physician-administered drug claims submitted without a NDC number or with an invalid NDC number will be rejected.
This is a mandatory billing requirement that applies to all provider types and is in accordance with Section 6002 of the 2005 Federal Deficit Reduction Act (DRA). Claims must include the 11-digit NDC, in addition to the CPT/HCPCS code and number of units. The NDC dispensing quantity and the NDC unit of measurement are also mandatory. NDC information can be obtained from the drug invoice and/or package information. Additional billing information can be found by visiting eMedNY New York State Medicaid General Billing Guidelines Manual.
Assisting providers in staying abreast of the latest trends, policies, and studies.
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Volume 10, Issue 1
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Volume 10, Issue 3
Volume 10, Issue 4
Verify member eligibility or renewal status, check claims, send e-scripts, and more.
To submit prior authorization request types, use the Fidelis Care provider portal.
Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.
Apply to our network and become a part of the Fidelis Care mission.