• Save time with these useful features

    • qualityReports
      Quality Reports
    • memberEligibility
      Member Eligibility
    • claimsStatus
      Claims Status
    • memberClinicalProfile
      Member Clinical Profile

  • For Us, It's You First!

    • Affinity’s Shared Savings Program

      Affinity’s Shared Savings Program

      The Affinity Health Plan Shared Savings Program is designed to create greater alignment between Affinity and its participating providers in the areas of quality of services and cost effectiveness provided to members. The objectives of the program are for participating providers to earn incentive payments based on their level of quality achieved and level of shared savings generated. The Shared Savings Program is part of New York State Department of Health’s Value Based Payment requirement.
    • Claims Reconsideration Tool Online Now!

      Affinity Health Plan will now be accepting claim inquires on our provider portal.

      By sending claims through the provider portal, providers may: Submit reconsideration requests and upload related documents online anytime. Reduce overall turnaround request time by eliminating mail delays. Receive immediate confirmations and tracking numbers. Check statuses online anytime.

      Claims Reconsideration Tool Online Now!
    • Affinity Earns 4-Star Quality Rating from DOH

      Affinity Earns 4-Star Quality Rating from DOH

      Affinity Health Plan received an overall 4 stars for New York City, Long Island and Hudson Valleyfrom the New York State Department of Health’s 2019 Consumer’s Guide to Medicaid and Child Health Plus Managed Care Plans.  Affinity’s 2019 overall 4-star rating covers the following clinical areas: Child and Adolescent Care, Women’s Preventative Care, Maternal Care, Adult Care, and Diabetes Care.

      The complete guide can be found at

      https://www.health.ny.gov/

    • Quality Is Key to Our Success!

      If you are curious to know how well or how to improve your quality performance before the end of 2020 and maximize your reward potential, the QIP Report will give you a breakdown by all qualifying measures across all lines of business.
      Providers also can visit the Affinity Health Plan website at https://www.affinityplan.org/Providers/Providers/ to learn more about CAHPS®, HEDIS ®/QARR Measures and Coding, Quality Incentive Program and Mandatory Reporting Requirements.  

      Quality Is Key to Our Success!