Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with New York State Department of Financial Services before sending sensitive documents. FaxFlow is not affiliated with this organization.
New York State Department of Financial Services fax number
(800) 332-2729
External Appeal Program (Health Insurance External Appeals)
Used for: External appeal of health insurance denial; independent medical review; submission of an External Appeal Application
Fax destination details
- Department
- External Appeal Program (Health Insurance External Appeals)
- Purpose
- External appeal of health insurance denial; independent medical review; submission of an External Appeal Application
- Form
- External Appeal Application (Fillable PDF) — New York State External Appeal Application
- Address
- 99 Washington Avenue, Box 177, Albany, NY 12210
- Voice phone
- 1-800-400-8882
- 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.
Fill out the External Appeal Application with plan, patient, and provider details; attach supporting documentation; submit via fax, email, or online per DFS instructions.
Review official form instructionsSources and verification
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