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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 />

709 A UI Moved<br />

Start Date<br />

Earlier<br />

710 A UI Moved<br />

Start Date<br />

Later<br />

711 A UI Moved<br />

End Date<br />

Earlier<br />

UI ERLY STRT<br />

DT<br />

UI LATE STRT<br />

DT<br />

UI ERLY END DT<br />

A CMS User updated the start date of an existing enrollment to an earlier date. This reply has a<br />

Transaction Type of 61. The new start date is reported in TRR data record field 18 (Effective Date)<br />

<strong>and</strong> the original start date is reported in field 24. The existing enrollment was changed to begin on<br />

the date in TRR data record field 18. The end date of the existing enrollment (if it exists) remains<br />

unchanged.<br />

The Part C Premium amount may have been populated automatically with the base Part C premium<br />

amount.<br />

Plan Action: Locate the enrollment for this beneficiary that starts on the date in field 24. Update<br />

the Plan records for this enrollment to start on the date in field 18. Verify the Part C premium<br />

amount <strong>and</strong> submit a Record Update transaction if necessary. Take the appropriate actions as per<br />

CMS enrollment guidance.<br />

A CMS User updated the start date of an existing enrollment to a later date. This reply has a<br />

Transaction Type of 51. The new start date is reported in field 18 (effective date) <strong>and</strong> the original<br />

start date is reported in TRR data record field 24. The existing enrollment has been reduced to<br />

begin on the date in TRR data record field 18. The end date of the existing enrollment (if it exists)<br />

remains unchanged.<br />

Plan Action: Locate the enrollment for this beneficiary that starts on the date in field 24. Update<br />

the Plan records for this enrollment to start on the date in field 18. Take the appropriate actions as<br />

per CMS enrollment guidance.<br />

A CMS User or Plan User with Update Authority updated the end date of an existing enrollment to<br />

an earlier date. This reply has a Transaction Type of 51. The new end date is reported in field 18<br />

(effective date) <strong>and</strong> the original end date is reported in TRR data record field 24. The existing<br />

enrollment was reduced to end on the date in TRR data record field 18. The start date of the<br />

existing enrollment remains unchanged.<br />

Plan Action: Locate the enrollment for this beneficiary that ends on the date in field 24. Update<br />

the Plan records for this enrollment to end on the date in field 18. Take the appropriate actions as<br />

per CMS enrollment guidance.<br />

<strong>December</strong> <strong>28</strong>, 2012 I-79 Transaction Reply Codes (TRCs)

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