Appeals Calculator
To determine the timely filing date for your appeals request:
Step One
Please select an option from the drop-down based upon which level of appeal you are in (see table at bottom of page).
Step Two
Enter the date on which you received the response to your previous appeal.
Reminder: The filing time limit for each level of an appeal is calculated from the date you received a response to your previous filing.
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Five Levels of Appeals: Overview
| Levels | Level One | Level Two | Level Three | Level Four | Level Five |
|---|---|---|---|---|---|
| Type of Appeal | Redetermination | Reconsideration (QIC) | Administrative Law Judge (ALJ) | Medicare Appeals Council (MAC) | Federal Court Review |
| Time Limit for Filing Appeal | 120 days from date of receipt of the initial determination notice | 180 days from date of receipt of the redetermination decision | 60 days from the date of receipt of the reconsideration (QIC decision) | 60 days from date of receipt of the ALJ decision | 60 days from date of receipt of the MAC decision |
| Amount in Controversy (monetary threshold to be met) | No minimum (none) | No minimum (none) | For requests filed on or after 1/1/2022, at least $180 remains in controversy. For requests filed on or after 1/1/2021, at least $180 remains in controversy |
No minimum (none) | For requests filed on or after 1/1/2022, at least $1,760 remains in controversy. For requests filed on or after 1/1/2021, at least $1,760 remains in controversy. |
Note: Additional resources to help you determine how to file an appeal within the time limit are available in the Appeals section of our website.
Reference: CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 29, Section 310. (605 KB)