Helpful tips

How do I join Fidelis Care?

How do I join Fidelis Care?

How to Enroll

  1. Call 1-888-FIDELIS (1-888-343-3547), TTY: 711.
  2. Find a Fidelis Care office near you. Make an appointment, or walk right in during regular business hours!

How do I become a network provider?

How Do I Get Credentialed with Insurance Companies as a New Provider?

  1. Get your NPI number.
  2. Know how you are billing for your services.
  3. Obtain malpractice insurance.
  4. Complete the CAQH application.
  5. Register with Medicare.
  6. Contact each insurance company with which you want to be in-network.

How do I get my 1095 Fidelis form?

How to find your 1095-A online

  1. Log in to your account.
  2. Under “Your Existing Applications,” select your 2020 application — not your 2021 application.
  3. Select “Tax Forms” from the menu on the left.
  4. Download all 1095-As shown on the screen.

Is Fidelis the same as Medicaid?

Fidelis Care, a leading health insurer that serves all of New York State, offers free or low-cost comprehensive health coverage, including Medicaid Managed Care, Medicare Advantage, Child Health Plus, and plans available through NY State of Health, The Official Health Plan Marketplace.

Is Fidelis Care a good company?

Fidelis Care also received an overall quality rating of 5 stars for health plan performance as part of the New York State Department of Health’s 2017 Consumer’s Guide to Medicaid and Child Health Plus Managed Care Plans.

Why would a provider choose to be a part of a provider network?

Provider networks enable health plans to make care more affordable for consumers by negotiating better prices with physicians and hospitals in the network. Provider networks also allow health plans to select hospitals, physicians, and other providers that meet certain standards to be a part of their networks.

What is the difference between NPI Type 1 and 2?

Type 1 is for the provider. For practices with multiple dentists, obtain a Type 1 NPI for each dentist. Type 2 is for group practices, incorporated dental practices or other business entities paid under their business or corporate name, or under their employer identification number (EIN).

Is Fidelis only in New York?

As of 2018, Fidelis Care served more than 1.7 million New York residents. It is a subsidiary of Centene Corp and has offices throughout New York State, including New York City, Albany, Syracuse, Rochester and Buffalo….Fidelis Care.

Formation 1993

Is Fidelis a Medicaid plan?

Fidelis offers health plans for individuals, Medicare eligible beneficiaries and Medicaid eligible people. They provide free or low-cost health insurance through a variety of health programs that help cover preventive care, prenatal care, labs and immunizations, emergency care, and more.

Is Fidelis Care Medicaid?

In addition to its Medicaid Managed Care program, Fidelis Care became an approved provider of Child Health Plus in 1997, and Family Health Plus in 2001. Both are New York State-sponsored health insurance programs. In May 2004, Fidelis Care began Fidelis Medicare Advantage and Dual Advantage to serve the elderly.

What does Fidelis insurance cover?

Fidelis is a private insurance company that offers Medicare Advantage plans in the state of New York. The Medicare Advantage plans available through Fidelis are HMO, HMO D-SNP, HMO-POS plans. All Fidelis Medicare Advantage plans offer extra benefits like vision and hearing exams, and some may also cover dental, hearing aids, and prescription drugs.