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4915 — New York Law | CourtGPT
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New York Legal Code

4915

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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:\n(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\n(b) any other method that encourages the upholding of an adverse determination.