Medicare Appeal-Level Deadline Calculator

Medicare claim-appeal deadline: the next level and its filing deadline, counted from receipt of the notice (presumed 5 days after its date).

Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Appeal level just completed
Initial determination
Decision / notice date
2026-01-15

Result: Initial determination -> Redetermination (MAC): file by 2026-05-20 (120-day window from receipt, presumed 5 days after the notice).

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Appeal level just completed
  • Decision / notice date (YYYY-MM-DD)
  • Date received, only with proof of later receipt (YYYY-MM-DD)
How this is calculated

Citation

42 CFR Part 405, Subpart I: redetermination 120 days (405.942), reconsideration 180 days (405.962), ALJ 60 days (405.1014), Council 60 days (405.1102), court 60 days, each from receipt presumed 5 days after the notice. AIC by filing year: 2026 $200/$1,960; 2027 $200/$2,000. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.