{"data":{"id":"us-ny/n.y.-insurance-law-4915","jurisdiction":"us-ny","citation":"N.Y. Insurance Law § 4915","heading":"Prohibited practices","body":"§ 4915. Prohibited practices. An external appeal agent shall not, with\nrespect to external appeal activities, permit or provide compensation or\nanything of value to its employees, agents, or contractors based on:\n  (a) either a percentage of the amount by which a claim is reduced for\npayment or the number of claims or the cost of services for which the\nperson has denied authorization or payment; or\n  (b) any other method that encourages the upholding of an adverse\ndetermination.","path":["Insurance Law","Article 49. Utilization Review and External Appeal","Title 2. Right to External Appeal"],"source_url":"https://legislation.nysenate.gov/api/3/laws/ISC/4915","current_through":"2026-09-11","vintage":"","retrieved_at":"2026-09-14T19:32:45Z","sha256":"f37736b00a5aab5681e25a6469d95266ffc61514b07e93ea065854dea423e4b5","source_id":"us-ny","stale":false,"prev":"us-ny/n.y.-insurance-law-4914","next":"us-ny/n.y.-insurance-law-4916"},"notice":"GroundRules: Original legal text. Not legal advice."}