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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.

Appeals Calculator

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 before 12/31/2017, at least $160 remains in controversy.

For requests filed on or after 1/1/2018, at least $160 remains in controversy
No minimum (none) For requests filed on or after 1/1/2019, at least $1,630 remains in controversy.

For requests filed on or after 1/1/2018, at least $1,600 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)

Appeals Calculator
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