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 997 – 999 These codes appear only on special TRRs that are generated for specific purposes; for example, those generated to communicate Full Enrollment or to report beneficiaries losing low-income deeming. When a special TRR produces one of these TRCs, CMS will provide the Plans with communications which define the TRC descriptions and Plan actions (if applicable). December 28, 2012 I-83 Transaction Reply Codes (TRCs)
I.3 Obsolete Transaction Reply Codes Plan Communications User Guide Appendices, Version 6.3 Table I-3 lists the obsolete TRCs marked for deletion beginning November 2006. Table I-3: Obsolete Transaction Reply Codes Code Type Title Short Definition Definition 027 A Demonstration Beneficiary Factor Set 028 A Demonstration Beneficiary Factor Terminated 040 R Enrollment Rejected, Multiple Enrollment Trans 041 R Invalid Demonstration Beneficiary Factor Date OBSOLETE OBSOLETE OBSOLETE OBSOLETE A transaction to turn on the beneficiary-level demonstration factor (Transaction Type 30) was successfully processed. The effective start date of the factor is shown in TRR data record field 24. Note: This reply code is only applicable to transactions that update beneficiaryspecific risk adjustment factors for certain demonstration contracts. Plan Action: Update the Plan’s records. A transaction to turn off the beneficiary-level demonstration factor (Transaction Type 31) was successfully processed. The effective end date of the factor is show in TRR data record field 24. Note: This reply code is only applicable to transactions that update beneficiaryspecific risk adjustment factors for certain demonstration contracts. Plan Action: Update the Plan’s records. An enrollment transaction (Transaction Type 61) was rejected because it was one of several that were submitted with the same effective date and application date. Plan Action: None required. A beneficiary factor update request attempted to process. This was rejected because the effective start and/or end date was not in a valid format or the request specified an effective start date that was greater than the end date. Plan Action: If this TRC is included in the Plan’s TRR, call the MMA Helpdesk to request guidance. December 28, 2012 I-84 Obsolete Transaction Reply Code (TRCs)
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ID# Transmittal Monthly Transmittal
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Medicare Advantage and Prescription Drug Plans December 28 ...

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