NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES …

SECTION F DENTAL BENEFITS Section Page ... and dental specialists who agree to provide care at a discounted price for covered services. By using a PPO provider, ... 1-800-537-1238 ext. 5501 (outside of New York City) HOW AND WHERE TO FILE AN OUT-OF-NETWORK CLAIM 1. Out-of-Network providers should use a Management Benefits Fund claim form. ................
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