Affinity Health Plan provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.molinahealthcare.com/providers/ny/medicaid/home |
|---|---|
| Payer contact reference | 1-877-872-47161-877-872-4716 is the current Molina New York provider contact listed on its provider page. Services before November 1, 2021 use the legacy Affinity route; verify the service date and product before contacting or submitting. |
| Claims payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| Eligibility payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for Affinity Health Plan. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| Timely filing | Product and service-date specific |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- 1-877-872-4716 is the current Molina New York provider contact listed on its provider page. Services before November 1, 2021 use the legacy Affinity route; verify the service date and product before contacting or submitting.
- This registry has not established one national timely-filing limit for Affinity Health Plan. Verify the controlling plan document, provider agreement, denial notice, or jurisdictional rule.
- This registry has not established a payer-specific appeal ladder for Affinity Health Plan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- This registry has not established one national ERA payer ID for Affinity Health Plan. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.
Affinity Health Plan at a glance
| Legal name | Affinity Health Plan (Molina) |
|---|---|
| Also known as | Affinity, Affinity by Molina |
| Category | Medicaid MCO |
| Parent organization | Molina Healthcare |
| Claims payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| Eligibility (270/271) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for Affinity Health Plan. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| NAIC company code | Not established in this registry |
| States covered | New York |
| Provider resource entry point | https://www.molinahealthcare.com/providers/ny/medicaid/home |
| Provider phone | 1-877-872-47161-877-872-4716 is the current Molina New York provider contact listed on its provider page. Services before November 1, 2021 use the legacy Affinity route; verify the service date and product before contacting or submitting. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Affinity Health Plan
Match legacy Affinity services before November 1, 2021 to applicable historical instructions. Later Molina New York services use the current product manual and provider agreement.
| Submission type | Window |
|---|---|
| Initial claim reference | Product and service-date specific |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Affinity Health Plan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Affinity Health Plan provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Affinity Health Plan
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Affinity Health Plan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Affinity Health Plan. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Affinity Health Plan
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Affinity Health Plan volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 270 / 271 eligibility | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for Affinity Health Plan. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
provider_phone, portal_url, timely_filing_days
Source comparison: 2026-09-18
Provider 877-872-4716; legacy portal only for services before Nov 1, 2021. Current post-transition services route through Molina; not universal proof for all historic contracts. Source locator: Welcome New York Healthcare Providers; Affinity by Molina Healthcare Providers.
Primary source for provider_phone, portal_url, timely_filing_daysprovider_phone, portal_url
Source comparison: 2026-09-18
866-247-5678 is identified as Affinity member services, not provider claims support. Source locator: Member Services.
Primary source for provider_phone, portal_url
Not checked in this pass: All fields outside these bounded findings, including exact legal entity/NAIC, current enrollment and geography; Product-complete initial, corrected, secondary and appeal rules, agreements, exceptions and effective dates; Every claims, eligibility, ERA and authorization transaction identifier; portal access is not capability certification; Current clinical criteria and prior-authorization code samples; QuickIntell integrations/outcomes and historical DataForSEO demand; Accountable whole-record editorial approval; no last_reviewed date was advanced.
Sources used for this guide
State coverage
Affinity Health Plan operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Affinity Health Plan
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Affinity Health Plan; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Affinity Health Plan; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Affinity Health Plan before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Affinity Health Plan
Where is the Affinity Health Plan provider portal?
Use https://www.molinahealthcare.com/providers/ny/medicaid/home as a starting point for Affinity Health Plan provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Affinity Health Plan?
Match legacy Affinity services before November 1, 2021 to applicable historical instructions. Later Molina New York services use the current product manual and provider agreement.
Does Affinity Health Plan publish a single claims payer ID?
This registry has not established one all-product claims payer ID for Affinity Health Plan. See the source findings for transaction-specific references. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does Affinity Health Plan accept electronic claims?
Verify Affinity Health Plan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Affinity Health Plan denial?
This registry has not established a payer-specific appeal ladder for Affinity Health Plan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Affinity Health Plan prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Affinity Health Plan provider phone number?
This registry lists 1-877-872-4716 as a contact reference for Affinity Health Plan. 1-877-872-4716 is the current Molina New York provider contact listed on its provider page. Services before November 1, 2021 use the legacy Affinity route; verify the service date and product before contacting or submitting.
Automate workflows around Affinity Health Plan requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Affinity Health Plan's current published documents before submission. CPT® is a registered trademark of the American Medical Association.