N.Y. Insurance Law § 4915: Prohibited practices

§ 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:

(a) 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

(b) any other method that encourages the upholding of an adverse

determination.