Welcome, Brokers!

Fidelis Care serves more than 1.7 million children and adults of all ages, making us one of the largest health insurance plans in New York State. We were founded on the belief that all New Yorkers should have access to quality, affordable health insurance, and our mission to help others informs everything that we do. 

Latest News


2025/2/28 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care will host three Provider Office Hours in March 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions. Provider Office Hours – March 2025   Topic: Fidelis Care – Back to Basics When:  Thursday, March 13th – 9AM – 10AM EST Click here to register*   Topic: Fidelis Care and Wellcare Quality Programs When:  Wednesday, March 26th – 10:00AM – 11:00AM EST Click
2025/2/27 • Posted by Provider Relations • in Provider News
The following section of the Fidelis Care authorization grids have been updated effective April 1, 2025.   The following codes have been added to the Medicare Authorization Grid and do not require prior authorization: B. Durable Medical Equipment: The following DME codes do not require an authorization: L3660, L3915   Visit:  Authorization Grids
2025/2/18 • Posted by Provider Relations • in Provider News
Fidelis Care would like to remind providers of CMS correct coding guidelines to prevent billing errors and potential audits.  Fidelis Care has found instances where claims for the same service were billed multiple times using the same revenue code.  Per CMS guidelines, providers must ensure that each service charge has a distinct revenue code.   Reference Material Centers for Medicare & Medicaid Services (Chapter 1/ Subsection 120.3 - Suspect Duplicates, Page 261 and 263) - Click Here   If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.  
2025/2/10 • Posted by Provider Relations • in Provider News, Provider Quality
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. Articles in this issue: Fidelis Care Provider Portal and Availity Essentials Transition Encourage Patients to Get Screened for Hepatitis C Family Planning and Reproductive Healthcare Prevent Lead Poisoning The Importance of Domestic Violence Screening    Please download Fidelis Care Provider Bulletin – Volume 11, Issue 1.   To view our Provider Bulletin Library, please visit: Provider Bulletins.
2025/2/6 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care is pleased to announce that the new Quality Care Incentives (QCI) Program is now available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.   Fidelis Care is committed to ensuring that our members have access to essential preventive services that promote overall well-being and enhance their quality of life. As a contracted provider with Fidelis Care, your role is vital in helping us achieve this commitment.   For over 25 years, Fidelis Care has provided incentive payments to participating providers for delivering routine preventive care and promoting health among members. The organization remains dedicated
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