The Fidelis Care Blog

New Fidelis Care Fax Numbers

9/14/2023 • Posted by Fidelis Care in Provider News

Fidelis Care would like to inform our providers of new fax numbers being used throughout the organization. Please begin using the fax numbers listed below immediately. This list is not a comprehensive list of all Fidelis Care fax numbers, it is only the fax numbers that have changed.

Please note: Fidelis Care is currently in the process of updating all determination letters and other written correspondence to reflect the new fax numbers. While both fax numbers will work for a short time, we encourage all providers to begin using the fax numbers below, regardless of the fax number listed on the letter/correspondence. Please do not send correspondence to both fax numbers.

Department	Previous Fax Number	New Fax Number	Type of Faxes
Behavioral Health Substance Abuse Requests	646-829-1421	833-663-1608	All Substance Abuse Requests
Behavioral Health Authorization Requests	718-896-1784	833-561-0094	Behavioral Health Authorization Requests (Excluding Substance Abuse)
Behavioral Health Children's Authorization	347-690-7362	833-663-1604	All Children's Behavioral Health Authorizations and Plans of Care (POC)
Behavioral Health Court Orders	877-584-9642	877-584-9642	All Court Orders for Behavioral Health
Behavioral Health HARP Authorization	347-868-6427	833-561-0089	All HARP Behavioral Health Authorizations
Claims	877-247-9187	877-247-9187	Claims Invoices
Credentialing	716-636-2522	833-710-1981	Initial Credentialing Application/Provider Data Form (Participating Contract/TIN Required) Re-credentialing Application/Information
Government Affairs & Compliance	718-362-1271	833-710-1655	Independent Dispute Resolution Entity (IDRE) Inquiries
Government Affairs & Compliance	315-849-3885	833-710-1972	Non-Discrimination Inquiries
Medical Appeals	718-393-6779	833-710-2226	Pre-Service Medical Appeals for all Non Long Term Care Members
Member Services	718-393-6635	833-710-2220	PCP Change Request Forms
Member Services	877-533-2402	877-533-2403	Health Care Proxy (Medicare) Letter Log (Medicare and Medicaid) Medicare Disenrollment Pharmacy Faxes Medicare Bills
Member Services	718-897-1988	833-710-1775	Baby Care Incentives Children and Adult Medical Records Health Care Proxy (Medicare) Medicaid Letter Log (Legal) MLTC Letter Log W-9 Forms & Provider Bills and Claims Coverage of Benefits and Terminations Health Care Proxy Medicaid Pharmacy Reimbursements Authorizations Requests Summary of Doctor’s Appointment Transportation Documents
Member Services	716-564-6250	833-710-1777	Transportation Authorizations for Non-Emergency Transportation
Member Services	718-896-6832	833-710-1776	Letter Log (Medicare and Medicaid) Medicare HIPAA Letter NYSARC Forms Personal Care Services Faxes (Physician’s Order for Personal Care/Consumer Directed Personal Assistance) Pharmacy Faxes W-9 Providers/ Home Health Agency Coordination of Benefits (COB) Medicaid HIPAA Forms
MLTC	716-803-8727	833-710-1772	MLTC Authorization Requests, Clinical Information and Notifications
MLTC	716-200-4637	833-710-1659	DUAL Members - All DME & Authorization Requests
MLTC	347-514-6161	833-710-1973	MLTC Members -SNF documents (Authorization Requests, Permanent Placement Forms, PRIs, Notice of Agreement to PP)
MLTC	716-898-0651	833-710-1658	MLTC Members - Appeal Requests
Pharmacy - Medicaid/Exchange	877-533-2405	844-235-4852	Pharmacy Benefit - Initial Request
Pharmacy - Medicaid/Exchange	877-533-2405	844-235-5090	Pharmacy Medical Benefit – Initial Request
*Pharmacy - Medicaid/Exchange	877-533-2405	888-865-6531 (Effective 10/2/2023)	Pharmacy Benefit - Appeal Request
*Pharmacy - Medicaid/Exchange	877-533-2405	844-235-5091 (Effective 11/1/2023)	Pharmacy Medical Benefit - Appeal Request
Pharmacy - Medicare	877-882-5892	844-235-5021	Pharmacy Benefit - Initial Request
*Pharmacy - Medicare	877-882-5892	844-235-5090 (Effective 11/1/2023)	Pharmacy Medical Benefit - Initial Request
*Pharmacy - Medicare	877-882-5892	833-757-0611 (Effective 11/1/2023)	Pharmacy Medical Benefit - Appeal Request
*Pharmacy - Medicare	877-882-5892	866-388-1766 (Effective 10/2/2023)	Pharmacy Benefit - Appeal Request
Provider Relations – Albany Region	518-463-8820	833-522-2805	PR Related Communication
Provider Relations – Buffalo Region	716-200-1770	833-710-1653	PR Related Communication
Provider Relations – NYC Region	718-896-1924	833-522-2804	PR Related Communication
Provider Relations – Rochester Region	585-785-4001	833-710-1652	PR Related Communication
Provider Relations – Syracuse Region	315-437-4875	833-710-1923	PR Related Communication
Retention	718-393-6484	833-710-1648	For members to submit documentation required by NYSoH, LDSS or HRA in reference to their Renewal or Enrollment Application. This can be extended for providers as well to send documentation relevant to a members Renewal or Enrollment application.
Utilization Management	716-462-4696	833-710-1975	Discharge Notices for Transition of Care Members Only
Utilization Management	716-200-1389	800-860-8720	DME Authorizations (excluding MLTC) Sleep Study Authorizations, Podiatry Services
Utilization Management - Physical Health	716-803-8307	833-663-1611	Authorization Requests and Clinical Documentation for Inpatient Rehab Requests (For Non Long Term Care Members)
Utilization Management - Physical Health	347-868-6411	833-663-1602	Authorization Requests and Clinical Documentation for Inpatient ER Requests (For all Non Long Term Care Members)

* The new fax line will not be available until the effective date noted.

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.