Welcome, Brokers!

Fidelis Care will host our Quality Provider Office Hours on September 24, 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions. Quality Provider Office Hours – September 2024   Topic: Fidelis Care and Wellcare Quality Programs When:  Tuesday, September 24th – 2PM – 3PM EST Click here to register*   *Attendance will be limited to the first 300 registrants for each session.   The Quality session will

Provider Access Online, Fidelis Care’s Provider Portal, is an easy-to-use, secure, self-service platform that provides your office with 24/7 access to the patient information you need - from authorizations and claims status, to eligibility, plan benefits, and more.   Our Portal saves valuable time for your administrative staff and provides the answers and resources you’re looking for - any time, on demand.   Use the Portal to: Follow claims and authorizations status in real time; and Access patient rosters, remittances, quality reports, and downloadable letters, including: Admission Approval Letter Appeal Approved and Out-Of-Network Denied Letter Appeal Decision Letter Appeal Denial Decision Letter Approval Letter

紐約長島市（2024年9月12日）飛達利斯保健是一個在全州營運的健康計劃，在紐約州擁有逾240萬名會員，是Centene公司的旗下公司，已啟動2024年鄉村健康補助金計劃的申請流程。每筆補助金從$10,000到$20,000不等，旨在幫助醫療保健服務提供者和社區組織為紐約州鄉村社區的健康和保健提供支援。該申請表可在fideliscare.org/rural-grant上找到。申請截止日期為2024年10月4日。

Reminder: Initial and re-assessment treatment planning activities should align with the description of code 97151 (below). Indirect services, such as ongoing treatment planning, are not separate billable services under the current CPT codes. Ongoing treatment planning is bundled with treatment codes 97155 and 97156.   Although this is not new guidance, Fidelis Care will be enforcing these guidelines in Utilization Review and Claims in an effort to better align with the billing expectation guidelines.      97151 Behavior identification assessment, administered by a physician or other qualified health

Fidelis Care is pleased to inform you that the most recent 2024 QARR/HEDIS Care Gap Report has been posted on Provider Access Online (provider portal). This information is indicative of all encounter data on file with Fidelis Care as of 7/16/2024.  This report provides you with the opportunity to review preventative services for which Fidelis does not show your members as receiving in the measurement period.  We strongly suggest that you review the report for opportunities to either render the service, schedule the service to be done before 12/31/24 or if previously performed, submit supplemental data by 2/1/25.  Please notify