State agency ยท New York State Department of Financial Services
New York external appeals searchable archive
A database of closed New York external appeals decided on or after 31 May 2019. Filter by diagnosis, treatment, health plan, decision and year to see outcomes of similar cases.
Know before you go
The page says the archive shows outcomes, diagnoses, treatments, health plans and appeal types. It also says earlier versions had more detailed case summaries, which were cut back to protect personal information. The department warns that your own condition may differ from any case listed and that past decisions should not affect a pending or future appeal. It does not guarantee the data is complete.
- Cost
- Free to search.
- Where
- New York
- How to start
- Use the filters on the page, such as diagnosis, treatment or health plan. The page also offers an export of all data by year.
- Have ready
- Your diagnosis and the treatment that was denied; The name of your health plan
Where this comes from
- Provider
- New York State Department of Financial Services
- Source we read
- https://www.dfs.ny.gov/public-appeal/search
- Date we read it
- . This is not a fresh check.
- Date the provider printed
- Not displayed
- What we checked
- We read the provider's public page. We have not verified availability, eligibility or outcomes for any individual.
Other starting points
- Program or service
AppealArmor
A free web tool that reads a photo or text of your denial letter, shows you what it read, and emails an appeal letter and a Next Steps sheet with where to send it and your deadline. It also has a deadline calculator.
From AppealArmor
- Program or service
California Independent Medical Review decision search
A searchable database of every California Independent Medical Review decision since 1 January 2001. Search by drug, treatment, therapy or condition to read how reviewers decided cases like yours.
From California Department of Managed Health Care
- Program or service
Crohn's & Colitis Foundation appeal letter library
Customizable appeal letters for Crohn's disease and ulcerative colitis treatments, tests and dose changes, including a request to use a biologic without first failing other drugs. Written for the doctor's office to edit.
From Crohn's & Colitis Foundation