Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Code Type Title Short Definition Definition
051 R Disenrollmen
t Rejected,
Incorrect
Effective
Date
052 R Disenrollmen
t Rejected,
Duplicate
Transaction
054 R Disenrollmen
t Rejected,
Retroactive
Effective
Date
BAD DISENR
DATE
DUPLICATE
RETRO DISN
DATE
A disenrollment transaction (Transaction Type 51) or a disenrollment cancellation transaction
(Transaction Type 81) was rejected because the submitted enrollment effective date was either:
Not the first day of the month, or
More than three months beyond the Current Calendar Month (CCM+3)
Note: Transactions with effective dates prior to CCM are returned with TRC 054.
Plan Action: Correct the Effective Date and resubmit if appropriate. If this is a retroactive
transaction, contact CMS for instructions on submitting retroactive transactions
A disenrollment transaction (Transaction Type 51), enrollment cancellation transaction (Transaction
Type 80), or disenrollment cancellation transaction (Transaction Type 81) was rejected because it
was a duplicate transaction. CMS has already processed another a similar transaction submitted for
the same contract with the same effective date.
The effective date of the disenrollment is reported in the Effective Date field (18) on the TRR data
file.
Plan Action: None required
A disenrollment transaction (Transaction Type 51 or 54) was rejected because the submitted
effective date was prior to the earliest allowed date for disenrollment transactions. Effective dates
for disenrollment transactions (Transaction Type 51) can be no earlier than one month prior to the
Current Calendar Month (CCM) or two months prior for Transaction Type 54 transactions.
The requested disenrollment effective date is reported in the Effective Date field (18) on the TRR
data file.
Plan Action: Correct the Effective Date and resubmit if appropriate. If this is a retroactive
transaction, contact CMS for instructions on submitting retroactive transactions.
December 28, 2012 I-13 Transaction Reply Codes (TRCs)