# UnitedHealthcare (NY Medicaid) timely filing limit for dental claims

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

URL: https://dentovio.com/dental-timely-filing-limits/unitedhealthcare-new-york

Payer of record: UnitedHealthcare Community Plan of New York (Medicaid dental)

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 UnitedHealthcare Community Plan of New York (Medicaid dental) is 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). Claim appeal: 60 days after the claim determination (Appendix A deadline table). Provider contracts and plan documents override published manuals — the contract number controls. Last verified 2026-08-30.

## Filing windows

- **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)

## Appeals

- **Claim appeal:** 60 days — after the claim determination (Appendix A deadline table)

## 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)](https://www.uhcdental.com/content/dam/provider/dental/medicaid/NY_Provider-Manual.pdf) — §9.4.b, printed p. 32; Appendix A.1/A.2, p. 39

## 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)