PA BridgeResources

UM Operations

Pend

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

Pend management is the discipline that separates compliant UM shops from the rest: immediate, specific requests for missing information; automated reminders; and dashboards ranking pends by remaining SLA time. A pend without a documented reason and owner is a future violation.