A pending claim, matter, or issue is any claim for benefits, asserted right under
any of our programs (e.g., an individual's declaration or statement that he or she
believes to be eligible for or entitled to payments or other benefits), or an issue
that awaits our decision at any stage of the administrative process (e.g., PE or Medicare
issue).
Examples of a pending claim(s), matter(s), or issue(s) include, but are not limited
to:
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when the claimant files a signed application;
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when the claimant files an appeal in writing;
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PE issues not yet on appeal such as a medical continuing disability review; or
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when the claimant or representative requests administrative review of a fee authorization.
See GN 03950.000 and GN 03960.000 for information on administrative review of fee authorizations under the fee petition
and fee agreement processes.