Initial claims
365 days
from the date of service (Louisiana Medicaid; adult dental claims are processed by SKYGEN), per the plan's Billing and Claims provider page
Published openly
Published filing window · Last verified 2026-08-30
AmeriHealth Caritas (LA Medicaid) timely filing limit for dental claims
AmeriHealth Caritas (LA Medicaid) publishes an initial dental filing window of 365 days. Corrected-claim and appeal windows, the exact wording, and sources are below.
AmeriHealth Caritas Louisiana (Medicaid dental — SKYGEN)
Corrected claims
180 days
for resubmissions and corrections; when Medicare is primary, 180 days from the Medicare EOB
Published openly
Recoupment
180 days
not a look-back cap — a claim recoupment is itself a trigger for the 180-calendar-day independent review reconsideration; separately, providers must return identified overpayments within 60 days of discovery (a refund duty, not a dispute right)
Published openly
Appeal windows
First-level claim dispute
180 days — must be received within 180 calendar days of the remittance advice or denial
Second-level claim dispute
90 days — must be filed within 90 calendar days of the date on the first-level claim dispute determination letter
Independent review reconsideration (LDH form)
180 days — in writing on the LDH-required form, within 180 calendar days of the electronic remittance advice's transmittal date or a paper remittance advice's postmark — or 60 days from the claim submission date if no remittance advice is received, or the date of claim recoupment
Find the timely-filing deadline
Date of service plus the payer's filing window, in calendar days. Estimate only — the payer's contract wording controls.
Enter a date of service to compute the deadline.
How we calculate this
Deadline = date of service + the filing window in calendar days; days left counts from your device's date today. This tool counts calendar days. Payer contracts may count differently — some windows run in months, from the end of the month of service, or from the date the payer received the claim — so treat the result as a planning estimate and confirm the payer's own contract wording. Windows outside 30–730 days are clamped, and a date of service more than a year ahead is rejected as a likely typo. Payer windows in the list carry the payer's published figure; the cited source appears on that payer's page.
Nothing you type here leaves your browser — the results are computed locally on this page.
Verified caveats
- Louisiana Medicaid only. Adult dental claims are processed by SKYGEN (claims: P.O. Box 651, Milwaukee, WI 53201) — not DentaQuest.
- Mental-health rehabilitation providers have a separate 60-day LDH independent-review path for waste/abuse recoupments; it does not reach dental claims, and no bright-line “60 days from recoupment” dispute window exists for dental providers here.
- The Billing and Claims page is a live web page with no version or effective date (read 2026-08-30) — re-check it before relying on a boundary case.
Sources
- AmeriHealth Caritas Louisiana — Billing and Claims (provider page) — Timely-filing guidance on the live page (no section numbers or version date)