Home / Treatments / Physical Therapy
Physical Therapy denials: what the review data shows
Independent reviewers have decided 386 published cases where an insurer denied Physical Therapy — and they overturned the insurer 29.8% of the time. A denial for Physical Therapy is a starting position, not a final answer.
Published decisions
386
2001–2026
Overturned
29.8%
115 denials reversed
By condition
Published outcomes when Physical Therapy was denied for these conditions.
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 Physical 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.