Public Health Law § 4915 · Title 2. Right to External Appeal
Prohibited practices
Verbatim from the official edition
Text — Law content up to date as of October 9, 2026, as published by the New York State 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:
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.
Source of truth
- Edition
- Law content up to date as of October 9, 2026, as published by the New York State Senate (Open Legislation)
- Official file
- https://legislation.nysenate.gov/pdf/laws/PBH4915
- Text hash
- sha256 42e95134696ea30e136b793bee7a9f8ec2770497bdde59ee5e7292c8ef44af48
- Composed by
- gen_ny_statutes.py 2026-11-10: the Senate's Open Legislation law tree (GET /api/3/laws/<ID>?full=true) read in document order; the Senate's PDF of the whole law (GET /pdf/laws/<ID>?full=true), read with PDFium, prints the same words in the same order
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.