Check a claim's deadline

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State Medicaid programs and managed-care organizations each set their own timely-filing window, commonly between 95 and 365 days from the date of service, and some run corrected-claim and appeal windows on different clocks. This tool uses the number you enter. Always confirm the exact window in your state provider manual or payer contract before relying on it.

Why this number matters more than it looks

A timely-filing deadline is a hard wall. Past it, a claim that was never filed, or was denied and never corrected and resubmitted, is generally gone for good. In home care the quiet losses are the ones that never announced themselves: authorized hours that were delivered and even EVV-verified but never carried onto a clean claim, and denials that no one reworked. None of it shows on the schedule. It only surfaces when you line up authorizations against delivered visits against submitted claims for a closed period, which is exactly where the money is still recoverable if you catch it in time.

The claim didn't fail loudly. It just quietly ran out of time, and the money left with it.

For how these deadlines actually work by payer, see timely filing limits. For the full picture of where revenue slips, see how agencies recover unbilled Medicaid revenue and where home-care margin leaks.

Worried what's aging out right now?

A free, read-only Margin Teardown reconciles one recent closed month and shows you the unbilled and un-reworked claims still inside their window. Read-only. Yours to keep.

Start a free Margin Teardown →