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. 

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Finding Helpful Information about Fidelis Care
2025/3/14 • Posted by Provider Relations in Provider News

Providers, please remember to review content available in Provider Access Online (Fidelis Care's secure Provider Portal) and the rest of this Provider section of the Fidelis Care website.  Both locations are excellent resources of information about our programs and services.  One example of a resource contained in this site is our Provider Manual.  The Provider Manual contains details about our credentialing processes and our member rights and responsibilities statement.  It also includes information about the clinical criteria used in utilization management (UM) decision-making, our pharmacy authorization processes, and Fidelis Care's policy statement on how coverage decisions are made.

 

Other items you will find in the Provider section of the Fidelis Care website include information about referring members for case and disease management services.  If you have further questions regarding any of the content on the website, please contact us at 1-888-FIDELIS (1-888-343-3547) or contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please click here

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