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Occupational Therapy denials: what the review data shows
Independent reviewers have decided 185 published cases where an insurer denied Occupational Therapy — and they overturned the insurer 64.9% of the time. A denial for Occupational Therapy is a starting position, not a final answer.
Published decisions
185
2001–2026
Overturned
64.9%
120 denials reversed
By condition
Published outcomes when Occupational Therapy was denied for these conditions.
| Condition | Decisions | Overturned |
|---|---|---|
| Autism | 74 | 74.3% |
| Autism Disorder | 18 | 61.1% |
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 Occupational Therapywhen 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.