Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Code Type Title Short Definition Definition
185 M Withholding
Agency
Accepted
Transaction
ACCEPTED
CMS submitted information on a beneficiary to SSA/RRB (See TRC 120). TRC 185 is sent to the
Plan when SSA/RRB acknowledges that they have accepted and processed the beneficiary data.
If the submittal to SSA/RRB was the result of a requested premium withholding change, TRC 185
informs the Plan that SSA/RRB has accepted and processed the change. The beneficiary’s PPO is
reported in DTRR field 39. The effective date of the PPO change is reported in field 18.
Note: The reported new PPO may be the same as the existing PPO.
Plans will not see the results of any requested premium withholding changes until TRC 185 is
received.
186 I Withholding
Agency
Rejected
Transaction
REJECTED
Plan Action: Ensure the Plan’s system matches the information, primarily the PPO, included in the
DTRR.
CMS submitted information on a beneficiary to SSA/RRB (See TRC 120). This data transmittal
was rejected by SSA/RRB.
This is exclusive to the communication between CMS and SSA/RRB. CMS will continue to
interface with SSA/RRB to resolve the rejection.
If CMS is unable to resolve this rejection and the Beneficiary-requested PPO is changed, the Plan
may receive a TRC 144.
187 R No Change in
Number of
Uncovered
Mths
Information
DUP NO UNCV
MTH
Plan Action: No action required.
A Number of Uncovered Months Record Change transaction (Transaction Type 73) was rejected.
No data change was made to the beneficiary’s record. The submitted transaction contained Number
of Uncovered Months Information that matched those already on record with CMS.
This transaction had no effect on the beneficiary’s records.
Plan Action: None required.
December 28, 2012 I-46 Transaction Reply Codes (TRCs)