What is the payer ID for Senior Whole Health of New York?

The payer ID for Senior Whole Health of New York is SWHNY. Alternate IDs seen across clearinghouses include 11225, 14350, 5068, 7702.

How long does Senior Whole Health of New York provider enrollment take?

Senior Whole Health of New York provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Senior Whole Health of New York require CAQH?

Yes. Senior Whole Health of New York uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Senior Whole Health of New York require ERA enrollment?

Yes. Senior Whole Health of New York requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Senior Whole Health of New York cover?

Senior Whole Health of New York operates in 19 states. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Senior Whole Health of New York

Part of Molina Healthcare, Inc.

Medicaid managed caredentalmedicalvision

Typical enrollment turnaround

60-90 days

Summary

Senior Whole Health of New York is a Medicaid managed care organization, part of Molina Healthcare, Inc., offering dental, medical, and vision coverage operating in 19 states. Claims route under payer ID SWHNY, with 9 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Molina 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: SWHNYAlso seen as 11225, 14350, 5068, 7702, 9115, AWLLNY and 3 more
Also known as: Molina Healthcare, Senior Whole Health of New York by Molina Healthcare
Uses CAQH: YesApplication route: Payer portal application
Service area: 19 states

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 Senior Whole Health of New York?: The payer ID for Senior Whole Health of New York is SWHNY. Alternate IDs seen across clearinghouses include 11225, 14350, 5068, 7702.
How long does Senior Whole Health of New York provider enrollment take?: Senior Whole Health of New York provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Senior Whole Health of New York require CAQH?: Yes. Senior Whole Health of New York uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Senior Whole Health of New York require ERA enrollment?: Yes. Senior Whole Health of New York requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Senior Whole Health of New York cover?: Senior Whole Health of New York operates in 19 states. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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.