Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Code Type Title Short Definition Definition
181 I Invalid PTD premium
submitted, corrected
192 I No Change in Part C
Premium Amount
199 R Rejected, Return to
Plan for Additional
Research
OBSOLETE
OBSOLETE
OBSOLETE
The Part D premium submitted on the enrollment or PBP change transaction
(Transaction Type 61) does not agree with the Plan’s defined Part D premium rate.
The premium has been adjusted to reflect the defined rate. The correct Part D
premium rate is reported in TRR data record field 24.
This TRC provides additional information about an enrollment or PBP change
transaction (Transaction Type 61) for which an acceptance was sent in a separate
Transaction Reply with an enrollment acceptance TRC. The effective date of the
enrollment for which this information is pertinent is reported in TRR data record field
18.
Plan Action: Update the Plan’s beneficiary records with the premium information in
the TRR record. Take the appropriate actions as per CMS enrollment guidance.
A Part C Premium Update transaction (Transaction Type 78) was submitted, however,
no data change was made to the beneficiary’s record. The submitted transaction
contained a Part C Premium Amount value that matched the Part C Premium Amount
already on record with CMS.
This transaction had no effect on the beneficiary’s records.
Plan Action: None required.
A submitted transaction (Transaction Types 51, 61, 72, 73, 74, 75, 01, 85) was
rejected. This transaction was placed into a pending status due to multiple
transactions that were concurrently processed for the same beneficiary.
Subsequent transactions may have been processed while this transaction was pending.
As a result, this transaction may no longer be valid.
Plan Action: Research the beneficiary’s current status and resubmit any appropriate
transactions.
December 28, 2012 I-89 Obsolete Transaction Reply Code (TRCs)