Fidelis Care (New York)
MedicaidAlso covers: Fidelis Care New York, NYS Catholic Health Plan, Centene
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
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.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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