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LATEST NEWS


Invitation to Fidelis Care’s December Provider Office Hours
11/15/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in December 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
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Provider Review of Fidelis Care Demographic Information
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.
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Reminder: 2024 Cultural Competency Training Requirements
11/14/2024 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
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Upcoming Availity Live Training for Fidelis Care Providers
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.
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IV Fluid Shortage and Pharmaceutical Prior Authorization Requests
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.
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Fidelis Care Plan Updates for 2025
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.
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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