Molina Healthcare - Affinity by Molina Healthcare
Part of Molina Healthcare
Summary
Molina Healthcare - Affinity by Molina Healthcare is a Medicaid managed care organization, part of Molina Healthcare, offering dental, medical, and vision coverage operating in New York. Claims route under payer ID 16146, with 7 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Affinity Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
16146Also seen as 13334, 14324, 3434, BXQNL, MOLINA_NY, SCHCTC and 1 more- Also known as
- Molina Healthcare New York (Total Care New York), Molina Healthcare of New York
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- NY (NYC area)
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Molina Healthcare - Affinity by Molina Healthcare?
- The payer ID for Molina Healthcare - Affinity by Molina Healthcare is 16146. Alternate IDs seen across clearinghouses include 13334, 14324, 3434, BXQNL.
- How long does Molina Healthcare - Affinity by Molina Healthcare provider enrollment take?
- Molina Healthcare - Affinity by Molina Healthcare provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Molina Healthcare - Affinity by Molina Healthcare require CAQH?
- Yes. Molina Healthcare - Affinity by Molina Healthcare uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Molina Healthcare - Affinity by Molina Healthcare require ERA enrollment?
- Yes. Molina Healthcare - Affinity by Molina Healthcare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Molina Healthcare - Affinity by Molina Healthcare cover?
- Molina Healthcare - Affinity by Molina Healthcare operates in NY (NYC area). Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.