Published filing window · Last verified 2026-08-30

Original Medicare timely filing limit for dental claims

Original Medicare publishes an initial dental filing window of 12 months. Corrected-claim and appeal windows, the exact wording, and sources are below.

Original Medicare (fee-for-service)

Initial claims

12 months

“the claim must be filed no later than the close of the period ending 1 calendar year after the date of service” (42 CFR § 424.44(a)(1)) — with narrow exceptions in (b) (administrative error, retroactive Medicare entitlement, Medicaid recoupment, retroactive MA/PACE disenrollment) and a non-workday rollover in (c)

Published openly

Appeal windows

No appeal level was extracted for this payer this pass — an extraction gap, not a statement that no appeal process exists.

Original Medicare 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

  • A rejected or returned-as-unprocessable claim is not considered filed for timely-filing purposes (CMS Pub. 100-04, Ch. 1, §70.2.3); a denied claim is filed and preserves the filing date. Returned-claim records are typically purged within 60 days with no audit trail — correct and resubmit fast.
  • Crossover: when the Medicare claim was filed timely, the state Medicaid agency may pay the related Medicaid claim within 6 months after notice of the Medicare disposition (42 CFR § 447.45(d)(4)(ii)).
  • § 424.44 is a Medicare rule only — it imposes nothing on Medicaid agencies. The Medicaid filing rule is 42 CFR § 447.45(d)(1); see the Medicaid record on this hub.
  • Medicare Advantage dental was not verified this pass — each MA plan's provider materials govern its windows.

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