Published filing window · Last verified 2026-08-30
MCNA (TX Medicaid/CHIP) publishes an initial dental filing window of 95 days. Corrected-claim and appeal windows, the exact wording, and sources are below.
MCNA Dental — Texas Medicaid & CHIP
Initial claims
95 days
“Providers must file claims within 95 days of date of service (DOS). If your claim is not received within 95 days from the date of service, it will be denied for late submission.” (MCNA Texas Provider Manual v1.31, effective March 1, 2026, §VII)
Published openly
Corrected claims
365 days
the cap on MCNA's enumerated late-filing exceptions — COB (the clock starts at the primary EOB/RA date), wrong-plan filing, clearinghouse failure, and circumstances beyond the provider's control — all still capped at 365 days from the date of service; deficient claims get 30 calendar days to supply missing x-rays or narratives
Published openly
120 days — for main-dental-home, timely-filing, no-prior-authorization, duplicate, and eligibility denials
120 days — from MCNA's initial claim determination (calendar days), for medical-necessity and benefit-coverage disputes; written decision within 30 calendar days
Route: Mail: MCNA Dental, Attention: MCNA Appeals Department – Provider Appeals, P.O. Box 740370, Atlanta, GA 30374-0370.
No public number — Available when a Medicaid medical-necessity appeal is upheld: a non-network provider of the same or similar specialty reviews the decision, and that determination is binding. Medicaid members only — not CHIP.
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.
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.
