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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Important Claim Information for Fidelis Care New Jersey Providers
2024/8/21 • Posted by Provider Relations in Provider News

Fidelis Care would like to notify our providers that service Fidelis Care New Jersey members (previously WellCare of New Jersey) with updated information on claim submission and other important contact information. 

 

Claim Submissions:

Fidelis Care New Jersey wants to ensure that claims are handled as efficiently as possible. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements. Additional information can also be found here.

 

Please Note: 

  • Fidelis Care New Jersey encourages providers to submit claims electronically via electronic data interchange (EDI) or direct date entry (DDE). 
  • Fidelis Care's preferred EDI gateway is Availity.  Providers can also use their own vendor/clearinghouse to submit electronically.
  • Providers should submit Fee For Service claims to: Wellcare Payer ID 14163.

 

Providers can also submit claims and check the status of a claim through our secure portal: https://provider.fideliscarenj.com.

 

To avoid delays in service, claim submissions for Fidelis Care New Jersey members should not be sent to the Fidelis Care NY plan.

 

Provider Contact Information:

For Providers who service members in New Jersey

For Providers who service members in New York

Provider Customer Service: 

1-888-453-2534,
TTY: 711

Provider Customer Service: 

1-888-343-3547
(1-888-FIDELIS), TTY: 711

For claims and prior authorizations, visit our secure provider portal at provider.fideliscarenj.com 

For claims and prior authorizations, visit our secure provider portal at providers.fideliscare.org.

Websitefideliscarenj.com 

Websitefideliscare.org

 

For other resources and helpful phone numbers, visit www.fideliscarenj.com or call our provider customer service team at 1-888-453-2534 (TTY: 711).Thank you for being our provider. We look forward to our continued partnership!

 

 

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