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Bienvenidos, Corredores!

Fidelis Care atiende a más de 1,7 millones de niños y adultos de todas las edades, lo que nos convierte en uno de los planes de seguro médico más grandes del estado de Nueva York. Nos fundamos con la creencia de que todos los neoyorquinos deberían tener acceso a un seguro de salud asequible y de calidad, y nuestra misión de ayudar a los demás informa todo lo que hacemos. 

Últimas Noticias


Invitation to Fidelis Care’s January Provider Office Hours
12/16/2024 • Posted by Provider Relations in Provider News, Provider Quality

Office Hours

Fidelis Care will host three Provider Office Hours in January 2025. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

Provider Office Hours – January 2025

Topic: Fidelis Care – Back to Basics
When:  Thursday, January 9th – 9AM – 10AM EST
Click here to register*

 

Topic: Claims and COB Overview
When:  Thursday, January 23rd – 2PM – 3PM EST
Click here to register*

 

Topic: Fidelis Care and Wellcare Quality Programs – Back to Basics
When:  Wednesday, January 29th – 2PM – 3PM EST
Click here to register*

*Attendance will be limited to the first 300 registrants for each session.

 


The Back to Basics session will include:

  • Important Updates/Information
  • Product Portfolio
  • Credentialing and Demographic Changes
  • Authorization Requirements
  • Vendor Information
  • Claims and Billing Information
  • Provider Tools & Resources

 

The Claims sessions will include:

  • Appeals Overview
  • Coordination of Benefits (COB) Information
  • Online Resources and Tools

 

The Quality - Back to Basics session will include:

  • Quality Overview: Why is Quality Improvement Important? What are my Scores and Opportunities? What reports are available to me? How do I get involved with my PPA?
  • Differences between Provider Engagement Account Manager (PEAM) and Provider Partnership Associate (PPA)
  • Care Gap Reporting: Measure Overview and Member Details
  • Importance of APV/MWOV
  • New 2025 Provider Tip Sheets/Resources
  • CPT II Coding/CDI Webinars
  • Supplemental Data Submission Onboarding (SuDS) for MY2025
  • E-Connectivity Implementation

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Provider Partnership Associate. To find your designated representative, please visit Contact Provider Relations on our website.

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