What is the timely filing limit for dental claims with UnitedHealthcare (WI Medicaid), and how long do you have to correct or appeal?

Published filing window · Last verified 2026-08-30

UnitedHealthcare (WI Medicaid) timely filing limit for dental claims

UnitedHealthcare (WI Medicaid) publishes an initial dental filing window of 90 days. Corrected-claim and appeal windows, the exact wording, and sources are below.

UnitedHealthcare Community Plan of Wisconsin (Medicaid dental)

Initial claims

90 days

“All claims should be submitted within 90 calendar days from the date of service” — the manual says “should,” not “must” (§9.2.c of the Wisconsin Community Plan dental manual, revised 6/30/2026, administered by Dental Benefit Providers)

Published openly

Corrected claims

365 days

for adjustments/reprocessing, from the date of service or eligibility posting, “only if the initial submission time period has been met” — but the manual's own Appendix A “Corrected Claims” row says 90 days from the date of service; treat 365 as the adjustments rule and confirm before relying on it

Published openly

Appeal windows

Claim appeal (written only)

90 days — “after the payment, denial or recoupment of a timely claim submission” (calendar days) — a mailed written route; the Dental Hub portal publishes no appeal-submission tool (the manual's “in writing or telephonically” sentence covers adjustments, not appeals)

Route: Mail: Appeals Coordinator, P.O. Box 1698, Milwaukee, WI 53201.

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.

Date of serviceThe date the procedure was performed — filing windows typically run from this date, not from when the claim was billed.Payer filing window“All claims should be submitted within 90 calendar days from the date of service” — the manual says “should,” not “must” (§9.2.c of the Wisconsin Community Plan dental manual, revised 6/30/2026, administered by Dental Benefit Providers)Filing limit (calendar days)Set by the selected payer window.

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

The manual contradicts itself on the secondary-claim clock: §9.2.c and Appendix A say secondary claims must be received within 180 calendar days of the primary payer's determination, while the §9.6 best-practices list says 180 calendar days from the date of service “even if the primary carrier has not made payment.” Use the conservative from-date-of-service reading until UHC resolves it.
A claim denied for incorrect or missing information must be resubmitted as a new claim — not a corrected claim — and timely-filing limits apply to the resubmission.
Member benefit appeals for denied service authorizations are a separate track (45 days, to UHC's Salt Lake City appeals box) — do not conflate them with provider claim appeals.
UHC's state Medicaid dental manuals differ — Wisconsin 90 days, New York 120, Nebraska 180 — and no generic UnitedHealthcare number exists. Commercial UHC dental was not verified this pass.

Sources

UHC Community Plan of Wisconsin — Dental Provider Manual (PDF) — §9.2.c “Timely submission (Timely filing)”, printed p. 29; Appendix A QRG, p. 39