Once a medical RFE response is received, USCIS does not have a fixed processing timeline to issue a decision. Instead, the case returns to the adjudication queue after intake processing, and final review depends on background checks, officer workload, and whether all eligibility requirements are fully satisfied. “Silent updates” or internal timestamp changes typically reflect case file movement or system updates rather than a substantive decision. USCIS must complete full record review before adjudication, which can take anywhere from a few days to several months depending on field office backlog. The key risk indicator is not the elapsed time after RFE receipt, but whether USCIS issues a new RFE, Notice of Intent to Deny, or interview scheduling update. Otherwise, post-medical RFE delays are generally normal and reflect final-stage review rather than a problem with the case. If you have any other questions, feel free to ask them in our next Lawfully office hours session! - Attorney MaryJoy Chuba (All information shared here is for general educational purposes only. It does not constitute legal advice or create an attorney - client relationship. Your situation may require fact-specific guidance. For personalized legal advice, please consult an immigration attorney directly.)