Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 Code Type Title Short Definition Definition 314 R Invalid Cancellation TC BAD CANCEL CODE An enrollment cancellation transaction was rejected because the wrong transaction type code (Field 16) was used. TC 82 can only be used for cancelling MMP enrollments. TC 80 is only used for cancelling non- MMP enrollments. 316 I Default Segment ID Assignment DEFAULT SEG ID Plan Action: Correct the TC and resubmit if appropriate. A default Segment ID is assigned because the beneficiary is Out-of-Area for the Contract/PBP. The default Segment ID is the lowest valid Segment for the Contract/PBP. The following fields populate in the DTRR when this TRC is returned: Field 1: HICN Field 2: Surname Field 3: First Name Field 4: Middle Initial Field 5: Gender Code Field 6: Date of Birth Field 7: Record Type Field 8: Contract Number Field 9: State Code Field 10: County Code Field 15: TRC Field 16: Transaction Type Field 18: Request effective Date Field 20: PBP ID Field 22: Transaction Date Field 24: Comment (Previous Segment Number, if applicable) Field 28: Source ID Field 30: Application Date Field 33: Segment Number Field 36: Election Type Field 37: Enrollment Source Field 43: Processing Timestamp Field 68: TRC Short Name Field 75: System-Assigned Transaction Tracking ID Field 76: Plan-Assigned Transaction Tracking ID Plan Action: Verify the beneficiary’s address is correct. Submit a Residence Address Change if December 28, 2012 I-71 Transaction Reply Codes (TRCs)
Plan Communications User Guide Appendices, Version 6.3 Code Type Title Short Definition Definition 317 I Segment ID Reassigned after Address Update SEG ID REASSIGN appropriate. A Segment ID is reassigned because updated address information is received. The updated address information either results from a Plan-submitted Residence Address Change (Transaction Type 76) or a SCC change notification. The following fields populate in the DTRR when this TRC is returned: Field 1: HICN Field 2: Surname Field 3: First Name Field 4: Middle Initial Field 5: Gender Code Field 6: Date of Birth Field 7: Record Type Field 8: Contract Number Field 9: State Code Field 10: County Code Field 15: TRC Field 16: Transaction Type Field 18: Request effective Date Field 20: PBP ID Field 22: Transaction Date Field 24: Comment (Previous Segment Number, if applicable) Field 28: Source ID Field 30: Application Date Field 33: Segment Number Field 36: Election Type Field 37: Enrollment Source Field 43: Processing Timestamp Field 68: TRC Short Name Field 75: System-Assigned Transaction Tracking ID Field 76: Plan-Assigned Transaction Tracking ID Plan Action: Verify the Segment ID is correct. Submit a Residence Address Change or a Segment ID change if appropriate. December 28, 2012 I-72 Transaction Reply Codes (TRCs)
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Medicare Advantage and Prescription
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F.10.3 Trailer Record Plan Communic
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CMS Transmittals to the Plans Plan
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ID# Transmittal Monthly Transmittal
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ID# Transmittal Monthly Transmittal
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