Published filing window · Last verified 2026-08-30

SC Medicaid (DentaQuest) timely filing limit for dental claims

SC Medicaid (DentaQuest) publishes an initial dental filing window of 12 months. Corrected-claim and appeal windows, the exact wording, and sources are below.

South Carolina Medicaid Dental (SCDHHS — DentaQuest ASO)

Initial claims

12 months

only “clean” claims received and entered into the claims processing system within one year from the date of service (date of discharge for hospital claims) are considered for payment — an SCDHHS rule, not a DentaQuest-set limit (Provider Administrative and Billing Manual, July 1, 2026)

Published openly

Appeal windows

Claim reconsideration (informal review)

30 days from the remittance advice showing the denial, on the SCDHHS-CR form

Route: SCDHHS-CR form to SCDHHS; claims themselves are filed to DentaQuest, the SCDHHS dental ASO.

SC Medicaid (DentaQuest) states this window in months and the calculator counts calendar days, so there is no preset for it — pick another payer's window or enter the day count your contract uses.

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 30730 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

  • The one-year limit does not apply to retroactive member eligibility — but SCDHHS “will not consider claims that exceed the timely filing limits due to the provider being unaware of the member's coverage.”
  • “Providers cannot bill the member for claims denied for ‘untimely filing.’”
  • Untimely-filing denials surface on remittances as edit codes 509/510 or CARC 29.

Sources

Last verified 2026-08-30 (research confidence: high). 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. How this data is verified