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It likely means their system sees that you submitted your primary and are a US citizen or permanent resident.What does “preliminary review” mean for UTMB ? It said that on an email I received after the secondary email but it says that wording on the another email received stating I got a fee waiver.
They may also screen for Socioeconomic status and hence offered you a fee waiver for the secondary fee (maybe you said you are eligible for FAP for AMCAS) TMDSAS does not offer a fee waiver for the primary app but some of the schools will waive the secondary fee if asked, and a couple of schools don't charge a secondary fee.
I am pretty sure a human has not read your application yet, but they will do that after you submit your secondaries!