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首頁 | Fidelis Care医疗保健经纪人

Welcome, Brokers!

Fidelis Care serves more than 1.7 million children and adults of all ages, making us one of the largest health insurance plans in New York State. We were founded on the belief that all New Yorkers should have access to quality, affordable health insurance, and our mission to help others informs everything that we do. 

Latest News


Medicare Prior Authorization Updates
2025/8/1 • Posted by Provider Relations in Provider News

The following section of the Fidelis Care authorization grids have been updated effective September 1, 2025.

 

The following code has been updated on the Medicare Authorization Grid and requires prior authorization:

 

Durable Medical Equipment/Supplies:           

E1012 Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each

 

The following section of the Fidelis Care authorization grids have been updated effective July 1, 2025.

 

The following codes have been updated on the Medicare Authorization Grid and no longer require prior authorization:

 

Service Category

Services

Procedure Codes

Durable Medical Equipment

Orthotic & Prosthetic

A5500, L2820, L3908, L5685

Nutritional Services

B4034

Respiratory Devices

E0443, E1392, K0738

Neurostimulators

E0730

Supplies & Devices

E0849

Equipment & Accessories

E0951

Wheelchairs

E0955, E0956, E0961, E0971, E0973, E0990, E2210, E2365, E2601, E2607, E2624, K0001, K0019, K0040, K0195

Genetic Analysis

Genetic Testing

81257

Medical Supplies

Supplies

A4557, A4604

Wound Care

A6530

Other Medical Services

Other Services

G0249

Physician Services

Injections

20550, 20551

Infusion Services

96523

Office Visits

99243

Sleep Medicine

Sleep Studies

95806

                                                              

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have any questions, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.

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