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Total Disc Arthroplasty denials: what the review data shows

Independent reviewers have decided 19 published cases where an insurer denied Total Disc Arthroplasty — and they overturned the insurer 15.8% of the time. A denial for Total Disc Arthroplasty is a starting position, not a final answer.

Published decisions
19
2001–2026
Overturned
15.8%
3 denials reversed
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 Total Disc Arthroplastywhen 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.

Denied Total Disc Arthroplasty? 15.8% got it reversed.

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