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Balloon Sinus Ostial Dilation denials: what the review data shows
Independent reviewers have decided 28 published cases where an insurer denied Balloon Sinus Ostial Dilation — and they overturned the insurer 42.9% of the time. A denial for Balloon Sinus Ostial Dilation is a starting position, not a final answer.
Published decisions
28
2001–2026
Overturned
42.9%
12 denials reversed
By condition
Published outcomes when Balloon Sinus Ostial Dilation was denied for these conditions.
| Condition | Decisions | Overturned |
|---|---|---|
| Chronic Sinusitis | 12 | 25% |
How to use this in your appeal
These are outcomes from California’s external review program — an independent physician panel that binds the insurer. Every state has an equivalent process, and internal appeals succeed even more often. Cite the outcome record for Balloon Sinus Ostial Dilationwhen you appeal: reviewers routinely find that denials like yours didn’t hold up.
SOURCE: CALIFORNIA DMHC INDEPENDENT MEDICAL REVIEW OUTCOMES (CHHS OPEN DATA) · DERIVED AGGREGATE STATISTICS ONLY · METHODOLOGY
Not legal or medical advice. Coverage Rights is a self-help tool that helps you prepare your own appeal. For advice about your specific situation, talk to a licensed attorney or your doctor.