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Bundled codes for maternity are deleted January 1, 2027Get ready for the change >>
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Coverage profile

Work Molina Healthcare - Affinity by Molina Healthcare across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Molina Healthcare - Affinity by Molina Healthcare.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Molina Healthcare - Affinity by Molina Healthcare.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Molina Healthcare - Affinity by Molina Healthcare.

Supported

Other aliases

Also known as

  • 13334
  • 14324
  • 16146
  • 3434
  • 5684
  • BXQNL
  • MOLINA_NY
  • SCHCTC
  • TCARE
  • Molina Healthcare New York (Total Care New York)
  • Molina Healthcare of New York
  • MOLINA HEALTHCARE OF NEW YORK (NOT USED)

Payer policies

Molina Healthcare - Affinity by Molina Healthcare policies

The first 25 of 362 public policies Substrate tracks for Molina Healthcare - Affinity by Molina Healthcare, by title. Links open the payer's own document; check its current version before relying on it.

Search all 362 Molina Healthcare - Affinity by Molina Healthcare policies by CPT code, keyword or policy number →

Routing reference

Molina Healthcare - Affinity by Molina Healthcare payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Molina Healthcare - Affinity by Molina Healthcare payer name, operating states, and transaction-specific payer IDs
Payer nameMolina Healthcare - Affinity by Molina HealthcareSource: Substrate payer directory · data last changed
Operating statesNYSource: Substrate payer directory · data last changed
837P professional claims payer IDStedi16146Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi16146Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi16146Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi16146Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStedi16146Source: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Molina Healthcare - Affinity by Molina Healthcare. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: Molina Healthcare - Affinity by Molina Healthcare. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Phone and fax contacts

Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.

Phone numbers2
Molina Healthcare - Affinity by Molina Healthcare phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 777-6000Other stated contextBenefit context: Other or Additional Payor
  • ANTHEM BLUE CROSS CALIFORNIA BCCA
Health Benefit Plan Coverage
phone(800) 826-9781Other stated contextBenefit context: Other or Additional Payor
  • UMR FISERV HEALTH WAUSAU 39026
Health Benefit Plan Coverage

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Not affiliated with Molina Healthcare - Affinity by Molina Healthcare or BCBSA.

Confirm routing with your clearinghouse. Report an error

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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