Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
F.14 Daily Transaction Reply Report (DTRR) Data File
The DTRR is created each evening, Monday through Saturday, and is available for Plans the
following business day. All Plans receive a DTRR for all contracts whether the Plan has or has not
submitted transactions for processing by MARx. The TRC of 000 indicates that there is no data
within the DTRR for processing by the Plan. In turn, the Plan does not need to take any action and
may discard this file.
The file also contains records that report the submitted transactions verbatim back to the Plans
(F.14.1).
F.14.1 DTRR Data File Detailed Record Layout
Item Field Size Position Description
1 HICN 12 1-12 Health Insurance Claim Number
2 Surname 12 13-24 Beneficiary Surname
3 First Name 7 25-31 Beneficiary Given Name
4 Middle Initial 1 32 Beneficiary Middle Initial
5 Gender Code 1 33 Beneficiary Gender Identification Code
‘0’ = Unknown;
‘1’ = Male;
‘2’ = Female.
6 Date of Birth 8 34-41 YYYYMMDD Format
7 Record Type 1 42 ‘T’ = TRC record
8 Contract
5 43-47 Plan Contract Number
Number
9 State Code 2 48-49 Beneficiary Residence State Code; otherwise, spaces if not
applicable.
10 County Code 3 50-52 Beneficiary Residence County Code; otherwise, spaces if not
applicable.
11 Disability
Indicator
12 Hospice
Indicator
13 Institutional/NH
C/HCBS
Indicator
14 14. ESRD
Indicator
15 15. Transaction
Reply Code
(TRC)
1 53 ‘1’ = Disabled;
‘0’ = No Disability;
Space = not applicable.
1 54 ‘1’ = Hospice;
‘0’ = No Hospice;
Space = not applicable.
1 55 ‘3’ = HCBS;
‘1’ = Institutional;
‘2’ = NHC;
‘0’ = No Institutional;
Space = not applicable
1 56 ‘1’ = End-Stage Renal Disease;
‘0’ = No End-Stage Renal Disease;
Space = not applicable.
3 57-59 TRC, see TRC list on page I-2 for values
December 28, 2012 F-81 DTRR Data File