Medicare Appeal-Level Deadline Calculator
Medicare claim-appeal deadline: from the level just completed and the decision date, the next level, its filing window, and the deadline 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 2026-05-15 (120-day window).
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)
How this is calculated
42 CFR Part 405, Subpart I: redetermination 120 days (405.942), QIC reconsideration 180 days (405.962), OMHA/ALJ hearing 60 days (405.1014), Council 60 days (405.1102), federal court 60 days. CY2026 AIC: ALJ $200, court $1,960. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.