Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


11/14/2024 • Posted by Provider Relations
Providers are required to maintain up-to-date demographic information to ensure efficient and timely processing of claims, accurate provider directory information, and appropriate contact information for communication.
11/14/2024 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
11/13/2024 • Posted by Provider Relations
Beginning Nov. 18, you can validate eligibility and benefits, submit claims, check claim status, submit authorizations, and access Fidelis Care payer resources via Availity Essentials.
11/12/2024 • Posted by Provider Relations
As you may know, the United States is experiencing an IV fluid shortage after Hurricane Helene. Fidelis Care would like to provide guidance regarding prior authorization (PA) requests that may be affected by this shortage.
11/12/2024 • Posted by Provider Relations
Fidelis Care would like to inform our providers of plan changes that will be effective January 1, 2025.
Newer Articles
Older Articles


 

Smiles-that-Shine

Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

 

 

 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.