There is a newer version
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the New York Laws
2019 New York Laws
ISC - Insurance
Article 49 - Utilization Review and External Appeal
Title 2 - Right to External Appeal
4915 - Prohibited Practices.
Universal Citation: NY Ins L § 4915 (2019)
§ 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.
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