§ 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.\n
Prohibited practices
N.Y. Insurance Law § 4915, under Right to External Appeal.
N.Y. Insurance Law § 4915