Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with UnitedHealthcare Insurance Company of New York (Empire Plan / NYSHIP) before sending sensitive documents. FaxFlow is not affiliated with this organization.
UnitedHealthcare Insurance Company of New York (Empire Plan / NYSHIP) fax number
(845) 336-7716
Empire Plan Medical/Surgical Program – Predeterminations
Used for: Claims submission and predetermination requests for Empire Plan benefits
Fax destination details
- Department
- Empire Plan Medical/Surgical Program – Predeterminations
- Purpose
- Claims submission and predetermination requests for Empire Plan benefits
- Form
- Predetermination Request — Predetermination Request (Empire Plan)
- Address
- 505 Boices Lane, Kingston, NY 12401
- Voice phone
- 1-877-769-7447
- 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.
Use this form to verify how much UnitedHealthcare may reimburse for proposed services prior to rendering; you may also request an appeal of a previously denied predetermination. Do not use for services outside the predetermination process; follow specific service-line instructions in the form.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.