Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Code Type Title Short Definition Definition
608 A Enrl
Accepted,
CMS
Established
Eff and End
Dates
609 A Enrollment
Accepted
with CMS
established
Eff date
610 A Enrollment
Accepted
with CMS
Established
End Date
ENRLD/CMS DTS
ENRLD/CMS EFF
ENRLD/CMS
END
This TRC is used for special Enrollment Reconciliation TRRs.
The submitted discrepancy enrollment transaction (Transaction Type 61) was accepted but the
effective date and end date for the enrollment period were provided by CMS. The new effective
date of the enrollment period is reported in TRR data record field 18.
Plan Action: Update Plan records to be consistent with the dates in fields 18 and 54(?). Review
ALL enrollment periods in the Full Enrollment file to determine the beneficiary’s status. Take the
appropriate actions as per CMS enrollment guidance (send appropriate “Enrollment Status Update”
notice).
This TRC is used for special Enrollment Reconciliation TRRs.
The submitted discrepancy enrollment transaction (Transaction Type 61) was accepted but the
effective date for the enrollment period was provided by CMS. The effective date of the new
enrollment period is reported in TRR data record field 18.
Plan Action: Update Plan records to be consistent with the dates in fields 18. Review ALL
enrollment periods in the Full Enrollment file to determine the beneficiary’s status. Determine if a
premium refund is required. Take the appropriate actions as per CMS enrollment guidance (send
appropriate “Enrollment Status Update” notice).
This TRC is used for special Enrollment Reconciliation TRRs.
The submitted discrepancy enrollment transaction (Transaction Type 61) was accepted but the end
date for the enrollment period was provided by CMS. The submitted effective date of the enrollment
period is reported in TRR data record field 18.
Plan Action: Update Plan records to be consistent with the dates in fields 18. Review ALL
enrollment periods in the Full Enrollment file to determine the beneficiary’s status. Determine if a
premium refund is required. Take the appropriate actions as per CMS enrollment guidance (send
appropriate “Enrollment Status Update” notice).
December 28, 2012 I-75 Transaction Reply Codes (TRCs)