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UM Operations

Standard 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

Seven calendar days sounds generous until pends for missing documentation eat the window; the operational discipline is pend-age monitoring and requesting missing information immediately, not at day five. State law and contracts may impose shorter timelines than the federal floor.