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UM Operations

Expedited Request

Draft — pending verification

This reference entry has not yet been verified against its authoritative source (Original definitions; regulatory facts to be verified against CMS-0057-F (89 FR 8758) and X12/HL7 documentation). Do not rely on it for production configuration until this notice is removed.

In more depth

The 72-hour clock is calendar time, so expedited queues need coverage across weekends and holidays. Expedited-request criteria and who may invoke them (providers can request expedited handling) are regulated; inappropriate downgrading of urgent requests to standard is an audit and appeals risk.