Statute · New York Public Health Law
N.Y. Pub. Health Law § 4915 — Prohibited practices
N.Y. Pub. Health Law § 4915
- Type
- Statute
- Source
- New York Public Health Law
- Jurisdiction
- New York
- Current through
- Nov 5, 2026 (NY Senate Open Legislation)
§ 4915. Prohibited practices. An external appeal agent shall not, with respect to external appeal activities, permit or provide compensation or anything of value to its employees, agents, or contractors based on:
Citator
N.Y. Pub. Health Law § 4915 — Prohibited practices is in force in the current edition of the Code, and nothing recorded condemns it.
§ 4915. Prohibited practices. An external appeal agent shall not, with respect to external appeal activities, permit or provide compensation or anything of value to its employees, agents, or contractors based on:
1. either a percentage of the amount by which a claim is reduced for payment or the number of claims or the cost of services for which the person has denied authorization or payment; or
2. any other method that encourages the upholding of an adverse determination.