Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Molina Healthcare of New York, Inc. before sending sensitive documents. FaxFlow is not affiliated with this organization.
Molina Healthcare of New York, Inc. fax number
(844) 879-4471
Member Appeals
Used for: Submitting a Member Appeal Request Form (e.g., for services being reduced, suspended, or stopped) to Molina Healthcare of New York, Inc.
Fax destination details
- Department
- Member Appeals
- Purpose
- Submitting a Member Appeal Request Form (e.g., for services being reduced, suspended, or stopped) to Molina Healthcare of New York, Inc.
- Form
- Member Appeal Request Form — Member Appeal Request Form
- Address
- 2900 Exterior Street, Suite 202, Bronx, NY 10463
- Voice phone
- (800) 223-7242
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit the Member Appeal Request Form via fax to 1-844-879-4471; include member information and reason for the appeal; follow Molina NY guidelines for appeals.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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