UnitedHealthcare Wisconsin Medicaid timely filing limit

Sourced answer

The initial dental filing window for UnitedHealthcare Community Plan of Wisconsin (Medicaid dental) is 90 days — “All claims should be submitted within 90 calendar days from the date of service” — the manual says “should,” not “must” (§9.2.c of the Wisconsin Community Plan dental manual, revised 6/30/2026, administered by Dental Benefit Providers). Corrected claims: 365 days — for adjustments/reprocessing, from the date of service or eligibility posting, “only if the initial submission time period has been met” — but the manual's own Appendix A “Corrected Claims” row says 90 days from the date of service; treat 365 as the adjustments rule and confirm before relying on it. Claim appeal (written only): 90 days “after the payment, denial or recoupment of a timely claim submission” (calendar days) — a mailed written route; the Dental Hub portal publishes no appeal-submission tool (the manual's “in writing or telephonically” sentence covers adjustments, not appeals). Provider contracts and plan documents override published manuals — the contract number controls. Last verified 2026-08-30.