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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! Authorization Appeal Function Now Available on the Fidelis Care Provider Portal
4/10/2024 • Posted by Provider Relations in Provider News

Fidelis Care is pleased to announce another new functionality in the Provider Portal, allowing providers to submit authorization appeals electronically.  With this easy-to-use new tool, providers are able to submit inpatient and outpatient prior authorization appeals.

 

To Submit an Authorization Appeal:

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

                Please note: Users will need Authorizations Viewer or Account Administration user roles to access authorization information.

 

2. Select Authorization Status located on the menu on the left side of the page.

 

3. On the Authorization Search page, click on Search All Authorizations. You can search by Subscriber ID, Authorization #, Medicaid ID, Medicare ID, SSN, or Name & DOB.

 

4. Click on the Authorization you would like to appeal.

 

5. At the bottom of the Authorization Form Page, Click Request Auth Appeal. The Outpatient or Inpatient Authorization Status needs to be selected to request an appeal.

 

6. On the Appeal Request Form page, you can look at all of the codes included on the authorization, by clicking on the green arrow below Authorization History.

 

7. Under Appeal Details, provide the primary contact person and phone number for the requested appeal. 

 

8. Under Rationale, please list any specific codes and rationale you want Fidelis Care to consider for the appeal. 

 

9. You will also need to submit any supporting documentation for the appeal under Evidence Files.

 

10. When all fields have been completed, click Review and Submit Appeal.

 

11. Once your appeal has been submitted, you will receive a message at the top of the screen, showing your appeal has been successfully submitted.  If an Authorization Appeal Request already has an appeal on file, another appeal cannot be submitted.

 

12. Check for the status of the Authorization Appeal, by looking up the authorization from the Authorization Status menu. While the authorization appeal is in review, the status will show as Open and the decision will show Pending.  Your appeal status will show as Closed once an appeal decision has been made. 

 

For more detailed instructions please use the following resource guides:

Provider Access Online resources, including a new video tutorial

Provider Portal User Guide - Authorization 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! Authorization Appeal Function Now Available on the Fidelis Care Provider Portal
4/10/2024 • Posted by Provider Relations in Provider News

Fidelis Care is pleased to announce another new functionality in the Provider Portal, allowing providers to submit authorization appeals electronically.  With this easy-to-use new tool, providers are able to submit inpatient and outpatient prior authorization appeals.

 

To Submit an Authorization Appeal:

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

                Please note: Users will need Authorizations Viewer or Account Administration user roles to access authorization information.

 

2. Select Authorization Status located on the menu on the left side of the page.

 

3. On the Authorization Search page, click on Search All Authorizations. You can search by Subscriber ID, Authorization #, Medicaid ID, Medicare ID, SSN, or Name & DOB.

 

4. Click on the Authorization you would like to appeal.

 

5. At the bottom of the Authorization Form Page, Click Request Auth Appeal. The Outpatient or Inpatient Authorization Status needs to be selected to request an appeal.

 

6. On the Appeal Request Form page, you can look at all of the codes included on the authorization, by clicking on the green arrow below Authorization History.

 

7. Under Appeal Details, provide the primary contact person and phone number for the requested appeal. 

 

8. Under Rationale, please list any specific codes and rationale you want Fidelis Care to consider for the appeal. 

 

9. You will also need to submit any supporting documentation for the appeal under Evidence Files.

 

10. When all fields have been completed, click Review and Submit Appeal.

 

11. Once your appeal has been submitted, you will receive a message at the top of the screen, showing your appeal has been successfully submitted.  If an Authorization Appeal Request already has an appeal on file, another appeal cannot be submitted.

 

12. Check for the status of the Authorization Appeal, by looking up the authorization from the Authorization Status menu. While the authorization appeal is in review, the status will show as Open and the decision will show Pending.  Your appeal status will show as Closed once an appeal decision has been made. 

 

For more detailed instructions please use the following resource guides:

Provider Access Online resources, including a new video tutorial

Provider Portal User Guide - Authorization 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.