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 July Provider Office Hours
2026/6/23 • Posted by Provider Relations in Provider News, Provider Quality

Office Hours

Fidelis Care will host four Provider Office Hours in July 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 – July 2026

 

Topic: Fidelis Care – Back to Basics
When:  Thursday, July 9th – 1PM – 2PM EST
Click here to register*

 

Topic: Fidelis Care and WellCare Quality Programs
When:  Wednesday, July 15th – 10:00AM – 11:00AM EST
Click here to register*

 

Topic: Behavioral Health Overview
When:  Thursday, July 16th – 2PM – 3PM EST
Click here to register*

 

Topic: Fidelis Care Claims and COB Overview
When:  Thursday, July 23rd – 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
  • Maximizing E‑Connectivity: Advancing Data Capture & Quality Performance Outcomes

 

The Behavioral Health session will include:

  • Introductions of Fidelis Team Members
  • Provider Tools & Resources
  • Demographic Changes
  • Behavioral Health Access Regulations
  • Two Midnight Rule
  • Inpatient Discharge Notification Process
  • Restricted Recipient Program
  • 820 Services
  • Tip Sheets & Resubmission Requirements
  • External Resources

 

The Claims sessions will include:

  • Claim Submissions
  • Appeals Overview
  • Coordination of Benefits (COB) Information
  • Online Resources and Tools

 

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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Electronic Funds Transfer

Receive commission checks through Electronic Funds Transfer. 

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