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. 

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Important Information for Fidelis Care New Jersey Providers
2023/9/8 • Posted by Provider Relations in Provider News

Fidelis Care would like to notify our providers that service Fidelis Care New Jersey members (previously WellCare of New Jersey) with updated information on where to send authorization requests and other important contact information. 

Authorization Requests:

For prior authorizations, visit our secure provider portal at provider.fideliscarenj.com. Additional information can also be found in the notice to providers found here.

Please Note: 

  • MLTSS members: All outpatient services prior authorization requests can be faxed to 1-855-573-2346.
  • Non MLTSS members: Please log in to submit your Outpatient Authorization Requests & Inpatient Hospitalization Clinical only (not Authorization) submissions.
  • For information regarding the status of a prior authorization for LTC ( PCA, Medical Day Care, PDN, or HCBS ) Please call 1-855 -642-6185.

To check the status of a prior authorization (medical, behavioral, pharmacy, dental) or changes to a prior authorization, please call: Provider Services at 1-888-453-2534 or visit: https://provider.fideliscarenj.com.

For information regarding the status of a prior authorization for LTC (PCA, Medical Day Care, PDN, or HCBS) Please call 1-855 -642-6185.

As always, please verify each member's eligibility, benefits, and referral requirements before rendering care.

 

To avoid delays in service, authorization requests for Fidelis Care New Jersey members should not be sent to the Fidelis Care NY plan.

 

Provider Contact Information:

For Providers who service members in New Jersey

For Providers who service members in New York

Provider Customer Service: 

1-888-453-2534,
TTY: 711

Provider Customer Service: 

1-888-343-3547
(1-888-FIDELIS), TTY: 711

For claims and prior authorizations, visit our secure provider portal at provider.fideliscarenj.com 

For claims and prior authorizations, visit our secure provider portal at providers.fideliscare.org.

Websitefideliscarenj.com 

Websitefideliscare.org

 

For other resources and helpful phone numbers, visit www.fideliscarenj.com or call our provider customer service team at 1-888-453-2534 (TTY: 711).Thank you for being our provider. We look forward to our continued partnership!

 

 

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