Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 I.4 Transaction Reply Code (TRC) Groupings Transaction Type Code TRC TITLE Batch TRCs 4RX TRC GROUPING 143A 190A 200R 201R 202R 203R 204A 209R 242I 294I SECONDARY INSURANCE RX NUMBER CHANGE ACCEPTED NO CHANGE IN SECONDARY DRUG INFORMATION RX BIN BLANK OR NOT VALID RX ID BLANK OR NOT VALID RX GROUP NOT VALID RX PCN NOT VALID RECORD UPDATE FOR PRIMARY 4RX DATA SUCCESSFUL 4RX CHANGE REJECTED, INVALID CHANGE EFFECTIVE DATE NO CHANGE IN PRIMARY DRUG INFORMATION NO 4RX INSURANCE CHANGED ALL TRANSACTIONS TRC GROUPING 001 F INVALID TRANSACTION CODE 002 F INVALID CORRECTION ACTION CODE 003 F INVALID CONTRACT NUMBER 004 R BENEFICIARY NAME REQUIRED 006 R INCORRECT BIRTH DATE 007 R INVALID CLAIM NUMBER 008 R BENEFICIARY CLAIM NUMBER NOT FOUND 009R NO BENEFICIARY MATCH 022A TRANSACTION ACCEPTED CLAIM NUMBER CHANGE 023A TRANSACTION ACCEPTED, NAME CHANGE 037R TRANSACTION REJECTED INCORRECT EFFECTIVE DATE 104R REJECTED; INVALID OR MISSING ELECTION TYPE 105R REJECTED; INVALID EFFECTIVE DATE FOR ELECTION TYPE 106R REJECTED, ANOTHER TRANS RCVD WITH LATER APP DATE 107R REJECTED; INVALID OR MISSING PBP NUMBER 108R REJECTED, ELECTION LIMITS EXCEEDED 109R REJECTED, DUPLICATE PBP NUMBER 156F TRANSACTION REJECTED, USER NOT AUTHORIZED FOR CONTRACT 157R CONTRACT NOT AUTHORIZED FOR TRANSACTION CODE 165R PROCESSING DELAYED DUE TO MARX SYSTEM PROBLEMS AUTOMATIC RESET OF NUMBER OF UNCOVERED MONTHS (NUNCMO) 060R 290I 295M TRANSACTION REJECTED, NOT ENROLLED IEP NUNCMO RESET LOW INCOME NUNCMO RESET December 28, 2012 I-91 TRC Groupings
Plan Communications User Guide Appendices, Version 6.3 BENEFICIARY CROSS REFERENCE MERGE 301M 302M 701A 702A 703A 704A 705A 706A 707A 708A 709A 710A 711A 712A 713A 714I 715M 716I 717I MERGED BENEFICIARY, CLAIM NUMBER CHANGE ENROLLMENT CANCELLED, CLAIM NUMBER CHANGE (BENEFICIARY MERGE) CMS-ONLINE UPDATES TRC GROUPING NEW UI ENROLLMENT (OPEN ENDED) UI FILL-IN ENROLLMENT UI ENROLLMENT CANCEL (DELETE) UI ENROLLMENT CANCEL-PBP CORRECTION UI ENROLLMENT PBP CORRECTION UI ENROLLMENT CANCEL SEGMENT CORRECTION UI ENROLLMENT SEGMENT CORRECTION UI ASSIGNS END DATE UI MOVED START DATE EARLIER UI MOVED START DATE LATER UI MOVED END DATE EARLIER UI MOVED END DATE LATER UI REMOVED ENROLLMENT END DATE UI PART D OPT OUT CHANGE ACCEPTED MEDICAID CHANGE ACCEPTED UI CHANGED THE NUMBER OF UNCOVERED MONTHS UI CHANGED ONLY THE APPLICATION DATE DEMONSTRATION TRC GROUPING 056R 169R 307A 308R 309I 310R 311A 312A 313R 314R DEMONSTRATION ENROLLMENT REJECTED REINSURANCE DEMONSTRATION ENROLLMENT REJECTED MMP PASSIVE ENROLLMENT ACCEPTED MMP PASSIVE ENROLLMENT REJECTED NO CHANGE IN MMP OPT-OUT FLAG MMP OPT-OUT REJECTED; INVALID OPT-OUT CODE MMP OPT-OUT ACCEPTED MMP ENROLLMENT CANCELLATION ACCEPTED MMP ENROLLMENT CANCELLATION REJECTED INVALID CANCELLATION TRANSACTION December 28, 2012 I-92 TRC Groupings
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Medicare Advantage and Prescription
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Plan Communications User Guide Appe
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F.10.3 Trailer Record Plan Communic
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F.11.2 Record Type 2 Plan Communica
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Medicare Advantage and Prescription Drug Plans December 28 ...

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