Fidelis Care (New York)
Also covers / subsidiaries: Fidelis Care New York, NYS Catholic Health Plan, Centene
Core Payer & Clearinghouse Profile
Electronic Payer ID
11315
Payer ID 11315 is used for all Fidelis Care New York electronic claims. (New York)
Timely Filing Limit (TFL)
90 days from DOS for Medicaid, Child Health Plus, and former Family Health Plus enrollees; other lines may differ
Appeal Window
Administrative reconsiderations within 60 calendar days of the remittance advice; clinical appeals within 60 business days
Clearinghouse Gateway
Availity Essentials (payer ID 11315)
Provider Services
888-343-3547
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Professional (CMS-1500): P.O. Box 898, Amherst, NY 14226-0898. Facility (UB-04): P.O. Box 806, Amherst, NY 14226-0806.
Provider Portal
https://providers.fideliscare.org
New York managed-care plan owned by Centene.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Fidelis Care (New York).
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Fidelis Care (New York).
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Centercare | 11315 | Par | None | 837P837I835 ERA |
| Fidelis Care New York | 10459 | Par | None | 837P837I270/271276/277Dental |
| Fidelis Care Ny | 11315 | Par | Required | 837P837I835 ERA |
Resolution Tools for Fidelis Care (New York) Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Fidelis Care (New York) Denials & Delayed Payments?
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