Home / Treatments / Duodenal Switch Procedure
Duodenal Switch Procedure denials: what the review data shows
Independent reviewers have decided 30 published cases where an insurer denied Duodenal Switch Procedure — and they overturned the insurer 76.7% of the time. A denial for Duodenal Switch Procedure is a starting position, not a final answer.
Published decisions
30
2001–2026
Overturned
76.7%
23 denials reversed
By condition
Published outcomes when Duodenal Switch Procedure was denied for these conditions.
| Condition | Decisions | Overturned |
|---|---|---|
| Morbid Obesity | 27 | 81.5% |
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 Duodenal Switch Procedurewhen 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.