New York City Human Resources Administration (HRA) - Medical Assistance Program (MAP) Third Party Health Insurance Unit (TPHI) fax number

Fax destination details

Department

MAP Third Party Health Insurance Unit (TPHI)

Purpose

e-fax submissions for verification and updates of third-party health insurance in Medicaid cases; handling MAP-751W changes related to Third Party Health Insurance (TPHI) under MAP

Form

MAP-751W — MAP-751W — Request to Change Information on File

Address

MAP UPD Correspondence Unit, 785 Atlantic Avenue, 5th Floor, Brooklyn, NY 11238

Voice phone

1-888-692-6116

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 MAP-751W to the UPD Correspondence Unit. You can mail to UPD Correspondence Unit, 785 Atlantic Avenue, 5th Floor, Brooklyn, NY 11238; fax to 917-639-0837; or submit in person at a Medicaid Community Office.