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Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3<br />

Code Type Title Short Definition Definition<br />

188 A No Change in<br />

Segment ID<br />

189 A No Change in<br />

EGHP Flag<br />

190 A No Change in<br />

Secondary<br />

<strong>Drug</strong><br />

Information<br />

DUP SEGMENT<br />

ID<br />

DUP EGHP FLAG<br />

DUP SECNDARY<br />

RX<br />

A Segment ID Update transaction (Transaction Type 77) was accepted, however, no data change<br />

was made to the beneficiary’s record. The submitted transaction contained a Segment ID value that<br />

matched the Segment ID already on record with CMS.<br />

This transaction had no effect on the beneficiary’s records.<br />

Plan Action: None required.<br />

An EGHP Record Update transaction (Transaction Type 74) was submitted, however, no data<br />

change was made to the beneficiary’s record. The submitted transaction contained an EGHP Flag<br />

value that matched the EGHP Flag already on record with CMS.<br />

This transaction had no effect on the beneficiary’s records.<br />

Plan Action: None required.<br />

A 4Rx Record Update transaction (Transaction Type 72) was submitted, however, no data change<br />

was made to the beneficiary’s record. The submitted transaction contained Secondary <strong>Drug</strong><br />

Insurance Information (Secondary <strong>Drug</strong> Insurance flag, Secondary Rx ID, Secondary Rx Group,<br />

Secondary Rx BIN, Secondary Rx PCN) that matched the Secondary <strong>Drug</strong> Insurance values already<br />

on record with CMS.<br />

This transaction had no effect on the beneficiary’s records.<br />

Plan Action: None required.<br />

<strong>December</strong> <strong>28</strong>, 2012 I-47 Transaction Reply Codes (TRCs)

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