Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Code Type Title Short Definition Definition
288 A Disenrollmen
t Cancellation
Accepted
289 R Disenrollmen
t Cancellation
Rejected
290 I IEP
NUNCMO
Reset
ACPT DISNRL
CAN
RJCT DISNRL
CAN
NUNCMO RSET
IEP
A Disenrollment Cancellation (Transaction Type 81) transaction was accepted. The identified
disenrollment was cancelled. The start date of the cancelled disenrollment period is reported in the
TRR data record Effective Date field, field 18.
The Disenrollment Cancellation (Transaction Type 81) may have been submitted by a Plan or the
result of a Date of Death Change or Date of Death Rescinded notification that cancels an autodisenrollment
that was created by a Date of Death notification.
Plan Action: Update the Plan’s records accordingly.
A Disenrollment Cancellation (Transaction Type 81) transaction was rejected. Rejection occurred
for one of the following reasons:
Beneficiary was still enrolled in plan, never disenrolled;
Beneficiary was not enrolled in the plan;
Disenrollment being cancelled was not submitted by the Plan
Cannot restore prior enrollment due to associated disenrollment reason codes 5, 6, 8, 9, 10, 13,
15, 18, 19, 54, 56, 57, 61
Reinstated enrollment would conflict with another existing enrollment.
Plan Action: Submit Enrollment transaction.
This TRC was the result of an automatic system reset, or zeroing, of the cumulative uncovered
months for the identified beneficiary. This reset occurred for one of the following reasons:
Disabled beneficiary became age-qualified for Medicare,
An aged beneficiary had a retroactive NUNCMO transaction with an effective date prior to
aged qualification at the beginning of the IEP period.
Reset effective date is in TRR data record, field 18.
Plan Action: Update plan records accordingly.
December 28, 2012 I-66 Transaction Reply Codes (TRCs)