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HomeMemberHelpful ToolsHealth ResourcesSocial Determinants of HealthGiving Back

Giving Back to Our Communities

Fidelis Care Presents Brady Market with $5,000 Food Insecurity Grant

In observance of National Nutrition Month, Fidelis Care presented a $5,000 grant to support Brady Market’s programs to combat food insecurity in the Syracuse region. The grant is part of $315,000 in donations by Fidelis Care to nonprofit organizations on the front lines of fighting hunger across New York State. Food insecurity impacts about one in 10 New York households.

“Nutrition is healthcare,” said Fidelis Care Sales and Marketing Director Shannon Lombardo.  “Fidelis Care is committed to promoting health and well-being in Syracuse and communities across New York State. That begins by partnering with organizations like Brady Market to help families and individuals gain access to healthy, nutritious foods.”

Brady Market in Syracuse, operated by not-for-profit Brady Social Enterprises, Inc., is a grocery store with retail and wholesale operations, deli and catering, job training, and wraparound support services. It was inspired by the 70-plus year history of Brady Faith Center’s engagement with generations of individuals and families in some of the community’s most impoverished neighborhoods.

“Brady Market is very grateful for this Fidelis Care grant,” said Brady Faith Center Director Kevin Frank. “We absolutely can’t do what we do without wonderful partners. For many who live in the community, Brady Market is the only place to get fresh fruits and vegetables. We plan to use the Fidelis Care funding to take the lead in collaborating with 20 neighborhood organizations to deliver meals for 220 families. One of the wonderful things about this program is that our partner organizations know who needs food support the most. It’s just one of the ways that we are more than a market in this community.”

Lombardo added, “We know that one meal is not going to solve a family’s food insecurity, but these grants give us an opportunity to connect people with agencies and organizations like Brady Market to help them find the resources they need for long-term solutions.”

Fidelis Care takes pride in supporting the vital work of Brady Market and the other food insecurity grant recipients across New York State because no one should suffer from hunger. Click here to see the full list of Fidelis Care food insecurity grant recipient organizations.

Screener Program Provides Support to Families Impacted by Social Determinants of Health

SDoH-chart

Fidelis Care’s innovative SDoH screener program was launched two years ago as a grassroots health equity initiative to address conditions in the environments where people are born, live, work, and play that affect their health, well-being, and quality of life. Social Determinants of Health can affect a wide range of health risks and outcomes – particularly among vulnerable populations and in underserved areas.

The screener enables trained Fidelis Care representatives to assess an individual’s immediate needs and challenges related to SDoH through a brief series of questions covering areas such as access to transportation, food, and secure and safe housing. More than 450,000 Fidelis Care members have participated to date.


Click here to learn more about the different Social Determinants of Health and find available resources.

More News:


New! Claims Appeal Function Now Available on the Fidelis Care Provider Portal
2/27/2024 • Posted by Provider Relations in Provider News

You asked and we listened!  Fidelis Care is pleased to announce a new functionality in the Provider Portal, allowing providers to submit  claims disputes electronically.  With this easy-to-use new tool, providers are able to submit COB resubmissions, claims appeals, or claims reconsiderations.

 

To submit a claim dispute:

  1. Log in to the Fidelis Care Provider Portal with your User ID and Password.

Please note: Users will need Claims Information Viewer or Account Administration user roles to access claims information.

 

  1. Select Claims located in the menu on the left side of the page under External Links.

 

  1. On the Claims page, you can search by Subscriber ID, Claim ID, Medicaid ID, Medicare ID, Patient Account Number, or Provider NPI. Include a date range for the search.

 

  1. Click on the Claim ID you would like to dispute.

 

  1. Under the Payment Heading, Click Dispute Claim.

 

  1. Choose the Dispute Type you would like to submit. Choices include COB Resubmissions, Appeal, or Reconsideration.

 

  1. Choose the COB Resubmission/Appeal/Reconsideration Type from the drop-down menu, provide a brief explanation of the dispute in the Notes/Brief Explanation Field, and upload any supporting documentation in the Upload Documents Field. Then, click Submit Request.

 

  1. Once your dispute has been submitted you will receive a message at the top of the screen, showing your dispute has been successfully submitted.
    1. While the dispute is in review, the status will show as Open or Pending.

 

  1. A number will generate under Submitted for Appeal. Check for status updates in the Claims Info section.
    1. Please do not submit more than one dispute per claim at any one time..
    2. Your dispute status will show as Resolved once an appeal decision has been made under the Claim Info heading.  Resolved means the original claim decision has been upheld or the claim will be adjusted.

 

For more detailed instructions please use the following resource guides:

• Provider Access Online resources, including a new video tutorial

• Provider Portal User Guide - Claims Appeals QRG

 

 

For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.


New! Claims Appeal Function Now Available on the Fidelis Care Provider Portal
2/27/2024 • Posted by Provider Relations in Provider News

You asked and we listened!  Fidelis Care is pleased to announce a new functionality in the Provider Portal, allowing providers to submit  claims disputes electronically.  With this easy-to-use new tool, providers are able to submit COB resubmissions, claims appeals, or claims reconsiderations.

 

To submit a claim dispute:

  1. Log in to the Fidelis Care Provider Portal with your User ID and Password.

Please note: Users will need Claims Information Viewer or Account Administration user roles to access claims information.

 

  1. Select Claims located in the menu on the left side of the page under External Links.

 

  1. On the Claims page, you can search by Subscriber ID, Claim ID, Medicaid ID, Medicare ID, Patient Account Number, or Provider NPI. Include a date range for the search.

 

  1. Click on the Claim ID you would like to dispute.

 

  1. Under the Payment Heading, Click Dispute Claim.

 

  1. Choose the Dispute Type you would like to submit. Choices include COB Resubmissions, Appeal, or Reconsideration.

 

  1. Choose the COB Resubmission/Appeal/Reconsideration Type from the drop-down menu, provide a brief explanation of the dispute in the Notes/Brief Explanation Field, and upload any supporting documentation in the Upload Documents Field. Then, click Submit Request.

 

  1. Once your dispute has been submitted you will receive a message at the top of the screen, showing your dispute has been successfully submitted.
    1. While the dispute is in review, the status will show as Open or Pending.

 

  1. A number will generate under Submitted for Appeal. Check for status updates in the Claims Info section.
    1. Please do not submit more than one dispute per claim at any one time..
    2. Your dispute status will show as Resolved once an appeal decision has been made under the Claim Info heading.  Resolved means the original claim decision has been upheld or the claim will be adjusted.

 

For more detailed instructions please use the following resource guides:

• Provider Access Online resources, including a new video tutorial

• Provider Portal User Guide - Claims Appeals QRG

 

 

For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.