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LATEST NEWS


Invitation to Fidelis Care’s May Provider Office Hours
5/2/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in May 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
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Fidelis Care Remittance Advice CARC/RARC Codes
5/2/2024 • Posted by Provider Relations
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.
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Most Recent 2024 QARR/HEDIS Gap Report Now Available
5/1/2024 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2024 QARR/HEDIS Care Gap Report has been posted on Provider Access Online (provider portal).
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Fidelis Care Behavioral Health Grant Applications Now Open to Providers and Organizations Across New York State
5/1/2024 • Posted by Provider Relations
Grants of $10,000 to $20,000 aimed at improving behavioral health outcomes, especially in underserved communities
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Fidelis Care Provider Bulletin - Volume 10, Issue 2 – Spring 2024
5/1/2024 • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.
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Fidelis Care Authorization Grids Effective June 1, 2024
4/30/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective June 1, 2024.
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Provider Access Online

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

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Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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Join Our Network

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

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Attestation Form

Authorization Resources

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

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

E-Transactions

Utilization Management (UM)

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

UM Resources