Key Federal Deadlines
- Internal Appeal (ERISA/ACA): 180 days from denial notice to file internal appeal
- External Review (ACA): 60 days from exhaustion of internal appeals
- Medicare Redetermination: 120 days from denial
- Medicaid Fair Hearing: 90–120 days depending on state
- Urgent Care Appeals: Must be decided within 72 hours
Calculate Your Deadline
Denial Date
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Appeal Deadline
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Days Remaining
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Next Steps:
- Send your appeal via certified mail with return receipt requested
- Keep a copy of everything you send
- Note your insurer's response deadline (30–60 days for standard; 72 hours for urgent)
- Generate your appeal letter if you haven't already
External Review Deadlines by State
States with their own external review laws may have different deadlines. Search your state below.
| State | Internal Appeal Deadline | External Review Deadline | External Review Body | Notes |
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