If Fidelis Care is a capitated plan, why do I have to submit claims?
Claims must be submitted so Fidelis Care can report to the State Department of Health that its members are receiving the appropriate types of care, such as immunizations, prenatal care, adult preventive care etc. Additionally providers may be eligible for reimbursement above capitation through “bill aboves” and\or our Quality Incentive Program and the Baby Incentive Program.
