Affinity Providers
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Attention Providers:
Affinity Medical Group is Under New Management!
Affinity Medical Group is now managed by Affinity Medical Solutions (AMS), a management services organization (MSO) that is our wholly owned subsidiary. AMS has invested in the technology and people to provide great management services.
Here's what all Affinity providers can do to ensure
smooth operations:
Affinity Provider Portal - Register Your Providers:
- Please use the Affinity Provider Portal, our NEW Authorizations and Referrals website, https://affinity-portals.ikaenterprise.com.
- Select this link for more information about how to register to the Provider Portal, and tips for authorizations and referrals. You can also download our detailed instruction manual.
New Electronic Claims Information:
- Affinity now accepts electronic claims via the following clearinghouses:
CLEARINGHOUSE SUBMITTER NUMBER EMDEON 46594 CENTRICITY GEC91952P OFFICE ALLY 46594
Use our New Address for Paper Claims:
- Please send all PAPER Affinity claims to:
Affinity Medical Solutions
P.O. Box 21390
El Sobrante, CA 94820
Affinity Prior Authorization Request Form
- Use this single-page form ONLY for emergency/urgent authorizations, or out-of-network requests.
Select this link to download a PDF of the document.
Select this link to download a Microsoft Word version of the document.- Fill this document out completely, then fax it to Affinity Medical Solutions, 1-510-662-3492.
Request Provider Support
- Select this link to submit a request to be contacted by Affinity Provider Support. You can also call the AMS dedicated hotline at 1-800-615-0261.
Helpful Contacts
- Find the Member Services numbers for Affinity-contracted health plans, plus how to contact Affinity Medical Solutions.
Important Links
- MDQuickFax™ Documentation and Coding Information
- View recent articles, guidelines, presentations, and commonly-used patient forms.
