Initial claims
120 days
from the date of service (New York Community Plan dental manual, revised 3/11/2026 — covers HARP, MMC, D-SNP/MAP, CHP, and EPP)
Published openly
Published filing window · Last verified 2026-08-30
UnitedHealthcare (NY Medicaid) timely filing limit for dental claims
UnitedHealthcare (NY Medicaid) publishes an initial dental filing window of 120 days. Corrected-claim and appeal windows, the exact wording, and sources are below.
UnitedHealthcare Community Plan of New York (Medicaid dental)
Appeal windows
Claim appeal
60 days — after the claim determination (Appendix A deadline table)
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
- Member appeals are a separate track from provider claim appeals: reconsideration, then an action appeal within “60 work days” of the notice (standard decided in 30 days, fast-track in 2 working days), then a New York State external appeal within 4 months of the final adverse determination — with fast-track available when a delay would harm the member's health.
- If the plan misses its own appeal-decision deadline, the denial is reversed automatically.
- UHC's state Medicaid dental manuals differ — New York 120 days, Nebraska 180, Wisconsin 90 — and no generic UnitedHealthcare number exists. Commercial UHC dental was not verified this pass.
Sources
- UHC Community Plan of New York — Dental Provider Manual (PDF) — §9.4.b, printed p. 32; Appendix A.1/A.2, p. 39