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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:


Fidelis Care Remittance Advice CARC/RARC Codes
5/2/2024 • Posted by Provider Relations in Provider News

Fidelis Care would like to inform providers about upcoming changes to our remittance advice.  Effective May 12, 2024, the Fidelis Care remittance advice will include Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC), along with a description of the codes.

 

CARCs describe why a claim or service line was paid differently than it was billed and RARCs provider additional explanation for an adjustment already described by a CARC or convey information about remittance advice. 

 

There are two types of RARCs, supplemental and informational.  The majority of RARCs are supplemental; these are generally referred to as RARCs without further distinction.  Supplemental RARCs provide additional explanation for an adjustment already described by the CARC.  The second type of RARC is informational; these RARCs are all prefaced with “Alert”. Alerts are used to convey information about remittance processing and are never related to a specific adjustment or CARC.

 

Sample of Applicable CARC and RAC Codes found on a Remittance Advice:

 

Explanation

Code

CARC/RARC Code

Description

K09

97/ N70

CARC: The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.

RARC: Consolidated billing and payment applies.

K03

97

CARC: The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.

Z03

23/N377

CARC: The impact of prior payer(s) adjudication including payments and/or adjustments. (Use only with Group Code OA)

RARC: Payment based on a processed replacement claim.

BHX

45/ N860

CARC: Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.

RARC: Alert: The Federal No Surprise Billing Act Qualified Payment Amount (QPA) was used to calculate the member cost share(s).

B95

226/ M143

CARC: Information requested from the Billing/Rendering Provider was not provided or not provided timely or was insufficient/incomplete. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)

RARC: The provider must update license information with the payer.

i19

252/ N350

CARC: An attachment/other documentation is required to adjudicate this claim/service. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT).

RARC: Missing/incomplete/invalid description of service for a Not Otherwise Classified (NOC) code or for an Unlisted/By Report procedure.

 

 

If you have any questions, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please click here. 

 


Fidelis Care Remittance Advice CARC/RARC Codes
5/2/2024 • Posted by Provider Relations in Provider News

Fidelis Care would like to inform providers about upcoming changes to our remittance advice.  Effective May 12, 2024, the Fidelis Care remittance advice will include Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC), along with a description of the codes.

 

CARCs describe why a claim or service line was paid differently than it was billed and RARCs provider additional explanation for an adjustment already described by a CARC or convey information about remittance advice. 

 

There are two types of RARCs, supplemental and informational.  The majority of RARCs are supplemental; these are generally referred to as RARCs without further distinction.  Supplemental RARCs provide additional explanation for an adjustment already described by the CARC.  The second type of RARC is informational; these RARCs are all prefaced with “Alert”. Alerts are used to convey information about remittance processing and are never related to a specific adjustment or CARC.

 

Sample of Applicable CARC and RAC Codes found on a Remittance Advice:

 

Explanation

Code

CARC/RARC Code

Description

K09

97/ N70

CARC: The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.

RARC: Consolidated billing and payment applies.

K03

97

CARC: The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.

Z03

23/N377

CARC: The impact of prior payer(s) adjudication including payments and/or adjustments. (Use only with Group Code OA)

RARC: Payment based on a processed replacement claim.

BHX

45/ N860

CARC: Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.

RARC: Alert: The Federal No Surprise Billing Act Qualified Payment Amount (QPA) was used to calculate the member cost share(s).

B95

226/ M143

CARC: Information requested from the Billing/Rendering Provider was not provided or not provided timely or was insufficient/incomplete. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)

RARC: The provider must update license information with the payer.

i19

252/ N350

CARC: An attachment/other documentation is required to adjudicate this claim/service. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT).

RARC: Missing/incomplete/invalid description of service for a Not Otherwise Classified (NOC) code or for an Unlisted/By Report procedure.

 

 

If you have any questions, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please click here.