Ambetter from Fidelis Care and Essential Plan Member ID Cards Claim Information
2/12/2024
•
Posted by Provider Relations
Fidelis Care is has been made aware that Ambetter from Fidelis Care and Essential Plan members received ID cards with incorrect billing information located on the back of the ID card. Please do not use the Payor ID or the Claims address listed on the member ID card, unless the information below is present.
The correct information is as follows:
- Ambetter from Fidelis Care –
- Payor ID – 11315
- Medical Claims Address – Fidelis Care, PO Box 724, Amherst, NY 14226-0724
- Essential Plans –
- Payor ID – 11315
- Medical Claims Address –
- UB-04 Institutional Claims - Fidelis Care ,PO Box 806, Amherst, NY 14226-0806
- CMS-1500 Claims - Fidelis Care, PO Box 898, Amherst, NY 14226-0898
Fidelis Care is in the process of issuing new member ID cards to all affected members.
Reference Materials
For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.