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Appeal deadline calculator

Enter the date on your denial letter and your plan type. Every deadline below is tied to a specific federal regulation you can cite in your appeal.

Statutory basis: 45 CFR 147.136

"The Federal external review process must allow at least four months after the date of receipt of a notice of an adverse benefit determination to file a request."

Under 45 CFR 147.136, you have until 2027-01-10 to file an internal appeal (180 days from the denial). If your internal appeal is upheld, you then have roughly until 2027-05-12 to request external review.

Insurer decision timelines

Standard post-service
60 days
Standard pre-service
30 days
Expedited / urgent
72 hours
External review filing window
122 days from final internal denial

Next step

With deadlines in hand, use an appeal letter template to draft your response, or see the full how-to-appeal guide.

Not sure which deadline applies to you?

Upload your denial letter — we'll identify the plan type, apply state overlays, and generate the appeal on the right timeline.

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FAQ

Where do these deadlines come from?

Each deadline is tied to a specific federal regulation: 29 CFR 2560.503-1 for ERISA employer plans, 45 CFR 147.136 for ACA Marketplace plans, 42 CFR 422 for Medicare Advantage, 42 CFR 423 for Medicare Part D, and 42 CFR 438 for Medicaid managed care.

Does my state have shorter deadlines?

Many states shorten the insurer's decision timeline (e.g., California, Texas, New York require a decision within 30 days for post-service claims), but the 180-day filing window for ERISA/ACA plans is federal and applies nationwide.

What if I miss the deadline?

You typically lose the right to internal appeal and external review. Contact the plan or a patient advocate immediately — some plans allow 'good cause' extensions in narrow circumstances.

Not legal or medical advice. This page is a self-help resource. You make your own decisions. Strip personal identifiers (name, date of birth, address, member ID) from any document before uploading or sharing. The information here summarizes commonly-published payer policies and federal rules; confirm against your specific plan document and the current denial letter before acting.