Coverage profile
Work Fidelis Care across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Fidelis Care.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Fidelis Care.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Fidelis Care.
Other aliases
Also known as
- 00414
- 10459
- 11315
- 11315MA
- 11315MC
- 208017319
- 3792
- 6536
- FDCRNY
- FIDEL
- FIDEN
- Ambetter from Fidelis Care
- Centene Corporation
- Essential Plans
- Fidelis Care New York
- New York Quality Healthcare Corporation
- WellCare by Fidelis Care
- Wellcare Health Plans
- FIDELIS CARE NY
2027 maternity billing research
When does Fidelis Care change OB/GYN billing?
CC.PP.016 describes global maternity bundling and prepayment code review. It applies to adopting health plans on their own effective dates and contains no 2027 code-deletion implementation instructions.
- Transition start
- No 2027 transition date stated in cited policy
- Billing start
- No 2027 billing date stated in cited policy
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Corporate template for medical maternity services; adoption and effective date for the exact Fidelis Care New York product are unverified. No dental billing application is established.
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
Fidelis Care payer FAQs
How do I check claim status with Fidelis Care?
Providers check Fidelis Care via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Fidelis Care portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Fidelis Care?
The primary payer ID for Fidelis Care is 11315. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Fidelis Care?
The provider portal for Fidelis Care is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Fidelis Care?
The 837P and 837I payer ID for Fidelis Care is 11315 via Stedi.
What is the 835 payer ID for Fidelis Care?
The 835 payer ID for Fidelis Care is 11315 via Stedi.
What is the 270 payer ID for Fidelis Care?
The 270 payer IDs for Fidelis Care are 11315 via Stedi and 14163 via Availity.
What is the 276 payer ID for Fidelis Care?
The 276 payer IDs for Fidelis Care are 11315 via Stedi and 14163 via Availity.
What state does Fidelis Care operate in?
Fidelis Care operates in NY.
Routing reference
Fidelis Care payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Fidelis CareSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NYSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 11315Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 11315Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 11315Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 11315Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 14163Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 11315Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 14163Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Fidelis Care. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched record: WELLCARE HEALTH PLANS. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Fidelis Care. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.