Fidelis Care (New York)

Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

claims

First-time paper claims — Medicaid, Child Health Plus, Essential Plan (UB-04)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · chip · exchange
New York

Mailing address
Fidelis Care PO Box 806 Amherst, NY 14226-0806

First-time UB-04 claims (Medicaid/CHP/Essential Plan).

Fidelis Care payer ID 11315 for electronic claims (Availity preferred). CMS-1500 claims for the same lines go to PO Box 898.

View source ↗ · Source checked 2026-10-24

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claims

First-time paper claims — Medicaid, Child Health Plus, Essential Plan (CMS-1500)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · chip · exchange
New York

Mailing address
Fidelis Care PO Box 898 Amherst, NY 14226-0898

First-time CMS-1500 claims (Medicaid/CHP/Essential Plan).

Fidelis Care payer ID 11315 for electronic claims.

View source ↗ · Source checked 2026-10-24

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claims

First-time paper claims — Fidelis Care Medicare Advantage and Dual Advantage

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
New York

Mailing address
Fidelis Care PO Box 170 Amherst, NY 14226-0170

First-time Medicare/Dual Advantage claims.

CMS-1500 and UB-04 claims for Fidelis Care Dual Advantage and Medicare Advantage (Wellcare by Fidelis Care). COB claims for all lines go to PO Box 905, Amherst, NY 14226-0905.

View source ↗ · Source checked 2026-10-24

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Call preparation · editorial guide

Make the call count.

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

Have ready in your secure workspace

  • Claim number, service dates and billed amount
  • Submission acknowledgement and remittance
  • Provider billing identifiers

Questions to resolve

  • Was the claim received and accepted for processing?
  • What specifically prevents payment or final processing?
  • Is a corrected claim, reconsideration or appeal the right route?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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