# N.Y. PBH Law § 4915: Prohibited practices

> New York · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4915

## Section

- **Citation:** N.Y. PBH Law § 4915
- **Heading:** Prohibited practices
- **Jurisdiction:** New York
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** New York Code / Act PBH / Article 49 / Title 2 / Section 4915

## Text

§ 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 1. 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 2. any other method that encourages the upholding of an adverse\ndetermination.\n

## Nearby sections

- [N.Y. PBH Law § 4910 Right to external appeal established](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4910.md)
- [N.Y. PBH Law § 4911 Powers of the commissioner](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4911.md)
- [N.Y. PBH Law § 4912 Standards for certification](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4912.md)
- [N.Y. PBH Law § 4913 Conflict of interest](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4913.md)
- [N.Y. PBH Law § 4914 Procedures for external appeals of adverse determinations](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4914.md)
- [N.Y. PBH Law § 4915 Prohibited practices](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4915.md)
- [N.Y. PBH Law § 4916 Oversight and surveillance of the external appeal process](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4916.md)
- [N.Y. PBH Law § 4917 Hold harmless](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4917.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4915. Check the current official text before relying on it. Not legal advice.