28.11.2014 Views

Medicare Advantage and Prescription Drug Plans December 28 ...

Medicare Advantage and Prescription Drug Plans December 28 ...

Medicare Advantage and Prescription Drug Plans December 28 ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Plan Communications User Guide Appendices, Version 6.3<br />

Code Type Title Short Definition Definition<br />

207 I Part D Premium has<br />

been corrected to zero<br />

OBSOLETE<br />

An enrollment or PBP change transaction (Transaction Type 61) was submitted <strong>and</strong><br />

accepted for a Part C only Plan. This transaction contained an amount other than zero<br />

in the Part D premium field. Since a Part D premium does not apply to a Part C only<br />

Plan, the Part D premium has been corrected to be zero.<br />

This TRC provides additional information about an enrollment or PBP change<br />

transaction (Transaction Type 61) for which an acceptance was sent in a separate<br />

Transaction Reply with an acceptance TRC. The effective date of the enrollment for<br />

which this information is pertinent is reported in TRR data record field 18.<br />

208 R Plan Change Rejected<br />

Both 4Rx <strong>and</strong> non 4Rx<br />

Changes<br />

OBSOLETE<br />

Plan Action: Update the Plan’s records accordingly, ensuring that the beneficiary’s<br />

information matches zero Part D premium amount included in the TRR record.<br />

A 4Rx Record Update transaction (Transaction Type 72) was rejected because it<br />

contained information for both 4Rx <strong>and</strong> non-4Rx record updates.<br />

If any of the 4Rx (primary <strong>and</strong> secondary drug insurance) fields are populated, no<br />

other record updates can be included on the transaction.<br />

Plan Action: Submit separate Record Update transactions (Transaction Type 72) for<br />

4Rx <strong>and</strong> non-4Rx record updates.<br />

<strong>December</strong> <strong>28</strong>, 2012 I-90 Obsolete Transaction Reply Code (TRCs)

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!