DialClerk Directory

Fidelis Care (New York)

Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

appeals grievances

Claim resubmissions, reconsiderations and claim appeals — Fidelis Medicaid (Medicaid MC, CHP, MLTC, HARP)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · chip
New York

Mailing address
Fidelis Medicaid PO Box 10500 Farmington, MO 63640-5001

Medicaid-line claim resubmissions, reconsiderations and appeals.

Address listed for COB resubmissions, administrative reconsiderations and claim appeals/adjustments for Medicaid Managed Care, Child Health Plus, Fidelis Care at Home (MLTC) and HealthierLife (HARP).

View source ↗ · Source checked 2026-10-24

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appeals grievances

Claim resubmissions, reconsiderations and claim appeals — Fidelis Marketplace (QHP / Essential Plan)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

exchange
New York

Mailing address
Fidelis Marketplace PO Box 10600 Farmington, MO 63640-5002

Marketplace-line claim resubmissions, reconsiderations and appeals.

Qualified Health Plans (Ambetter from Fidelis Care) and Essential Plan claim resubmissions and appeals.

View source ↗ · Source checked 2026-10-24

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appeals grievances

Claim resubmissions, reconsiderations and claim appeals — Fidelis Medicare (MA, Dual Advantage, MAP)

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 Medicare PO Box 10700 Farmington, MO 63640-5003

Medicare-line claim resubmissions, reconsiderations and appeals.

Medicare Advantage, Dual Advantage and Medicaid Advantage Plus claim resubmissions and appeals.

View source ↗ · Source checked 2026-10-24

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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

Have ready in your secure workspace

  • Denial notice, remittance and reason codes
  • Previous appeal confirmation and decision
  • Supporting evidence and any required authorization to represent the member

Questions to resolve

  • Is this a claim correction, provider dispute or member appeal?
  • What deadline and submission channel apply to this case?
  • How can the office confirm receipt and track the decision?

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

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