fidelis care forms
Submit your insurance information | Northwell Health
Our representatives will help submit patient insurance information, including managed care, no-fault, worker's compensation, Medicare & Medicaid claims.
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MMIS Carrier Code, Carrier: , Address, Carrier Address-Line 2, City ...
Providers should use theses codes on claims for members who have commercial insurance. The second section contains Medicare carrier codes.
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Form 1095-B | NY State of Health
Consumers enrolled in Medicaid, Child Health Plus and Essential Plan (EP) may request a copy of Form 1095-B from the NYS Department of Health.
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