Question 1

What is the Stedi payer ID for Fidelis Care?

Accepted Answer

The Stedi payer ID for Fidelis Care is ISXVB.

Question 2

What is the primary payer ID for Fidelis Care?

Accepted Answer

The primary payer ID for Fidelis Care is 11315.

Question 3

What payer IDs does Fidelis Care use?

Accepted Answer

In addition to its primary payer ID 11315, Fidelis Care uses several other payer IDs, including 00414, 10459, 11315, 11315MA, 11315MC, 3792, 6536, and FDCRNY.

Question 4

What transactions does Fidelis Care support?

Accepted Answer

Fidelis Care supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

Question 5

What transaction types require transaction enrollment with Fidelis Care?

Accepted Answer

Fidelis Care requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

Question 6

What is transaction enrollment?

Accepted Answer

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

A COB checks determines if a member has coverage from more than one payer. Fidelis Care supports COB checks through Stedi.

Question 8

What other names does Fidelis Care go by?

Accepted Answer

Fidelis Care is also known as Ambetter from Fidelis Care, Centene Corporation, Essential Plans, Fidelis Care New York, New York Quality Healthcare Corporation, WellCare by Fidelis Care, and Wellcare Health Plans.

Fidelis Care

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments