Orthopedics
Orthopedic claim denials, appealed.
Orthopedic practices carry some of the highest-dollar denials in specialty care: imaging, injections, durable medical equipment, and surgical procedures that payers deny for medical necessity, prior authorization, or bundling. The large ones cost staff hours to fight; the smaller ones get written off. Canopy prepares both.
Common orthopedics denials we help appeal
- Advanced imaging (MRI or CT) denied for medical necessity or missing prior authorization.
- Joint injections and viscosupplementation denied on frequency or medical-necessity grounds.
- Durable medical equipment (braces, supports) denials.
- Surgical procedure denials and bundling or global-period disputes.
- Physical therapy and post-op care denied as exceeding limits.
- Modifier denials on staged or bilateral procedures.
54% of denied claims are overturned when practices appeal them.
Source: Premier, 2024.
65% of denied claims are never reworked or appealed.
Source: MGMA.
A single appeal can cost $64 to $118 in staff time, which is why small claims get abandoned.
Source: industry / Premier.
You stay in control. We prepare the appeal.
Upload the payer’s denial or underpayment. Canopy analyzes it and prepares a complete, ready to file appeal package. You file it with the payer under your own letterhead, the payer pays you directly, and Canopy charges a flat success fee only on what you actually recover.
See the full how it works →See what your orthopedics write-offs are worth.
Use the calculator to estimate the revenue you’re leaving on the table, then apply to get started.