Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Code Type Title Short Definition Definition
269 I Beneficiary
Has
Transplant
TRNSPLNT
EXISTS
This TRC is returned on an enrollment. It is intended to supply the Plan with additional information
about the beneficiary. Each TRC 269 returns transplant and failure dates for each kidney transplant
that overlaps the enrollment period. There may be more than one TRC 269 returned.
The transplant date is shown in the Effective Date field (field 18). The end date, if one exists, is
shown in Transplant End Date (field 24).
270 M Beneficiary
Transplant
Has Ended
280 I Member MSP
Period Ended
282 A Residence
Address
Deleted
283 R Residence
Address
Delete
Rejected
TRANSPLANT
END
MEMBER NOT
MSP
RES ADR DELTD
RJCTD ADR
DELT
Plan Action: Update the Plan’s beneficiary records with the information in the TRR. Take the
appropriate actions as per CMS enrollment guidance.
This TRC is returned on a reply with Transaction Type 01. It is not a reply to a submitted
transaction but is intended to supply the Plan with additional information about the beneficiary.
CMS was notified that the beneficiary’s transplant s failed or was an error. The effective date of
the failure or removal is reported in field 18 of the TRR record and in the EFF DATE column on the
printed report.
Plan Action: Update the Plan’s beneficiary records with the information in the TRR. Take the
appropriate actions as per CMS enrollment guidance.
The beneficiary’s Medicare as Secondary Payer period has ended.
All plans whose payments are impacted by the MSP notification will receive the TRC.
Plan Action: Update the Plan’s records accordingly.
The residence address associated with the TRR data record effective date (in field 18) has been
deleted and is no longer valid.
The address was removed either through “delete” action via the 76 transaction or because an
overlapping residence address change was submitted with the same or earlier effective date.
Plan Action: None required.
The residence address delete attempted was rejected. No residence address exists for the effective
date provided. See TRR data record, field 18.
Plan Action: Correct effective date and resubmit.
December 28, 2012 I-64 Transaction Reply Codes (TRCs)