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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Fidelis Care Provider Portal Self-Service Platform
2024/9/16 • Posted by Provider Relations in Provider News

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
  • Approved Out-Of-Network and Appeal Denial Letter
  • Authorization Approved and Out-Of-Network Denied Letter
  • Authorization Request Extension Letter
  • Denial Letter
  • Exhausted Benefit Denial Letter
  • Partial Appeal Denial Letter
  • Partial Denial letter
  • Reconsideration Request Approval Letter
  • File claim and authorization appeals or reconsiderations

 

To help you get the most from Provider Access Online, we encourage you to refer to our Provider Access Online Resources Page.  


For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist. Thank you for being a valued Fidelis Care partner in the provision of quality care.

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