# AmeriHealth Caritas (LA Medicaid) timely filing limit for dental claims

> What is the timely filing limit for dental claims with AmeriHealth Caritas (LA Medicaid), and how long do you have to correct or appeal? Verdict: Published filing window.

URL: https://dentovio.com/dental-timely-filing-limits/amerihealth-caritas-louisiana

Payer of record: AmeriHealth Caritas Louisiana (Medicaid dental — SKYGEN)

Last verified: 2026-08-30

Dentovio is an independent publisher — not a payer, the American Dental Association, or any government agency, and it is unaffiliated with the insurers named here. This page was drafted with AI assistance and verified against the primary sources linked here. It has not been reviewed by a credentialed dental billing specialist or attorney. These pages record filing, correction, appeal, records, and recoupment windows as read in each payer's published documents on the last-verified date — and record honestly where no public number exists. Provider contracts override published manuals, editions change, and several payers set different rules per state, network, or program. Educational reference only, not billing or legal advice; confirm the controlling number in your participation contract and the payer's current provider manual before relying on it.

## Direct answer

The initial dental filing window for AmeriHealth Caritas Louisiana (Medicaid dental — SKYGEN) is 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. Corrected claims: 180 days — for resubmissions and corrections; when Medicare is primary, 180 days from the Medicare EOB. First-level claim dispute: 180 days must be received within 180 calendar days of the remittance advice or denial. Provider contracts and plan documents override published manuals — the contract number controls. Last verified 2026-08-30.

## Filing windows

- **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)
- **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)

## Appeals

- **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

## 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)](https://www.amerihealthcaritasla.com/provider/billing) — Timely-filing guidance on the live page (no section numbers or version date)

## Related

- [All payer timely-filing pages](https://dentovio.com/dental-timely-filing-limits/index.html.md)
- [Dental claim denial codes](https://dentovio.com/dental-claim-denial-codes/index.html.md)
- [Dental prompt-pay laws by state](https://dentovio.com/dental-prompt-pay-laws/index.html.md)