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


Invitation to Fidelis Care’s March Provider Office Hours
2026/2/20 • Posted by Provider Relations in Provider News, Provider Quality

Office Hours

Fidelis Care will host three Provider Office Hours in March 2026. 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 – March 2026

 

Topic: Fidelis Care – Back to Basics
When:  Thursday, March 12th – 9AM – 10AM EST
Click here to register*

 

Topic: Fidelis Care and WellCare Quality Programs
When:  Wednesday, March 18th – 10:00AM – 11:00AM EST
Click here to register*

 

Topic: WellCare Claims Overview
When:  Thursday, March 26th – 2PM – 3PM 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
  • Reminder! HEDIS/QARR Medical Record Submission
  • Glidepath for APV & Patients Without Visits
    • Emphasis on patient outreach for APV in Q1
    • Discharge members from practice who are not patients of office.
  • Priority Measure Opportunities and Best Practices
    • COL, BCS, HbA1c, CBP, KED
  • RxEffect: 2026 Appointment Agendas Loaded
  • Supplemental Data Submission- Data Capture
    • Implementation Guidelines
    • Onboarding for MY2026 SuDS

 

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 Quality Improvement Specialist. To find your designated representative, please click the links above.

Broker Resources

Access forms, manuals, and other important documents and guides for Fidelis Care members. 

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