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New York external review
External appeal (DFS)File within 120 days
New York's external appeal through the Department of Financial Services covers medical necessity, experimental-treatment, and out-of-network denials. Decisions are binding and the state publishes outcome data.
Who to contact
NY Department of Financial Services (DFS)1-800-342-3736
What to know
- 4 months from final adverse determination to file.
- $25 fee, waived for hardship and refunded if you win.
- Expedited review available for urgent cases (72 hours).
Not legal or medical advice. Coverage Rights is a self-help tool that helps you prepare your own appeal. For advice about your specific situation, talk to a licensed attorney or your doctor.