Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Code Type Title Short Definition Definition
146 A Rollover successful OBSOLETE A termination-rollover action was processed. These actions allow all members of a
terminating Plan (contract or PBP) to be ‘rolled over’ (automatically enrolled) in a
new Plan.
This normally occurs at year end if a contract or PBP changes for the new year. The
transaction is an Enrollment Transaction (Transaction Type 61) and has the new
contract, PBP, and segment in TRR data record fields 8, 20 and 33, respectively. The
effective date of the rollover is reported in field 18 and in the EFF DATE column on
the printed report.
148 I Rollover successful,
Secondary Drug
Insurance 4Rxupdate
required
OBSOLETE
Plan Action: Submit a 4Rx Record Update transaction (Transaction Type 72)
supplying the beneficiary’s new insurance field (4Rx) values. If the move resulted in
beneficiaries being moved incorrectly, contract your CMS plan representative.
A beneficiary was “rolled over” into a new Plan (Contract and/or PBP). Updated 4RX
drug insurance information is needed by CMS for the primary drug coverage and the
secondary if applicable.
This TRC provides the Plan with additional information on a rollover transaction that
was processed successfully. It will be received by Plans which offer Part D coverage
(PDP, MA-PD, demonstration or other Plan with Part D). The effective date of the
new rolled-over enrollment will be reported in field 18 and in the EFF DATE column
on the printed report.
Plan Action: Submit a 4Rx Change transaction (Transaction Type 72) supplying the
beneficiary’s new insurance field (4Rx) values.
December 28, 2012 I-86 Obsolete Transaction Reply Code (TRCs)