Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 127R 128R 129I 133R 134I 150I 176R 184R 196R 211R 212A 246A 247A 248R 249R 250R 251R 268I 269I 307A 308R 312A 313R PART D ENROLLMENT REJECTED; EMPLOYER SUBSIDY STATUS PART D ENROLLMENT REJECT, EMPLYR SBSDY SET; NO PRIOR TRN PART D ENROLL ACCEPT; EMP SBSDY SET; PRIOR TRN REJECT PART D ENROLL REJECTED; INVALID SECNDRY INSUR FLAG MISSING SECONDARY INSURANCE INFORMATION ENROLLMENT ACCEPTED, EXCEEDS CAPACITY LIMIT TRANSACTION REJECTED, ANOTHER TRANSACTION ACCEPTED ENROLLMENT REJECTED, BENEFICIARY IS Medicaid TRANSACTION REJECTED, BENE NOT ELIGIBLE FOR PART D RE-ASSIGNMENT ENROLLMENT REJECTED RE-ASSIGNMENT ENROLLMENT ACCEPTED GAP ENROLLMENT ACCEPTED; NO CHANGE TO DATES GAP ENROLLMENT ACCEPTED; NEW END DATE GAP ENROLLMENT REJECTED; INVALID END DATE GAP ENROLLMENT OVERLAP AE, FE OR POS/LI NET PERIOD GAP ENROLLMENT DATES FALL WITHIN ANOTHER ENROLLMENT GAP ENROLLMENT NOT IN RETRO FILE BENEFICIARY HAS DIALYSIS PERIOD BENEFICIARY HAS TRANSPLANT MMP PASSIVE ENROLLMENT ACCEPTED MMP PASSIVE ENROLLMENT REJECTED MMP ENROLLMENT CANCELLATION ACCEPTED MMP ENROLLMENT CANCELLATION REJECTED 060R 285A 286R 287A 292R 312A 313R ENROLLMENT CANCELLATION TRC GROUPING TRANSACTION REJECTED, NOT ENROLLED ENROLLMENT CANCELLATION ACCEPTED ENROLLMENT CANCELLATION REJECTED ENROLLMENT REINSTATED DISENROLLMENT REJECTED, WAS CANCELLATION ATTEMPT MMP ENROLLMENT CANCELLATION ACCEPTED MMP ENROLLMENT CANCELLATION REJECTED 314R INVALID CANCELLATION TRANSACTION ESRD TRC GROUPING 055 M ESRD CANCELLATION 073 M ESRD STATUS SET 074 M ESRD STATUS TERMINIATED 135 M BENEFICIARY HAS STARTED DIALYSIS TREATMENTS 136 M BENEFICIARY HAS ENDED DIALYSIS TREATMENTS 137 M BENEFICIARY HAS RECEIVED A KIDNEY TRANSPLANT 268I 269I BENEFICIARY HAS DIALYSIS PERIOD BENEFICIARY HAS TRANSPLANT December 28, 2012 I-95 TRC Groupings
Plan Communications User Guide Appendices, Version 6.3 000I 264I 299I 257F 258F 259F 263F 071M 072M 177M 178M 218M 219M 117A 118A 121M 166R 194M 223I 077M 078M 097R 098R 099M 184R 227R 245M 280I 120A 124R 126R 141A 187A 215R 216I 217R NO DATA TO REPORT PAYMENT NOT YET COMPLETED CORRECTION TO PREVIOUSLY FAILED PAYMENT FAILED PAYMENT FAILED TRCs GROUPING FAILED; BIRTH DATE INVALID FOR DATABASE INSERTION FAILED; EFFECTIVE DATE INVALID FOR DATABASE INSERTION FAILED; END DATE INVALID FOR DATABASE INSERTION APPLICATION DATE INVALID FOR DATABASE INSERTION HOSPICE TRC GROUPING HOSPICE STATUS SET HOSPICE STATUS TERMINATED CHANGE IN LATE ENROLLMENT PENALTY LATE ENROLLMENT PENALTY RESCINDED LEP RESET UNDONE LEP RESET ACCEPTED FBD AUTO ENROLLMENT ACCEPTED LIS FACILITATED ENROLLMENT ACCEPTED LOW INCOME PERIOD STATUS LATE ENROLLMENT PENALTY/LEP TRC GROUPING LIS/AUTO/FACI TRC GROUPING PART D FBD AUTO ENROLLMENT OR FACILITATED ENROLLMENT REJECTED DEEMED CORRECTION LOW INCOME PERIOD CLOSED MEDICAID STATUS SET MEDICAID STATUS TERMINATED MEDICAID PREVIOUSLY TURNED ON MEDICAID PREVIOUSLY TURNED OFF MEDICAID PERIOD CHANGE/CANCELLATION MEDICAID TRC GROUPING ENROLLMENT REJECTED, BENEFICIARY IS IN MEDICAID MEDICARE SECONDARY PAYER/MSP TRC GROUPING AGED/DISABLED TRANSACTION REJECTED-INVALID TRANSACTION TYPE MEMBER HAS MSP PERIOD MEMBER MSP PERIOD HAS ENDED NUMBER OF UNCOVERED MONTHS/NUNCMO TRC GROUPING PREMIUM PAYMENT OPTION CHANGE SENT TO W/H AGENCY ENROLLMENT/CHANGE REJECTED, INVALID UNCOV MONTHS ENROLLMENT/CHANGE REJECTED, INVALID CRED CVRG FLAG UNCOVERED MONTHS CHANGE ACCEPTED NO CHANGE IN NUMBER OF UNCOVERED MONTHS INFORMATION UNCOVERED MONTHS CHANGE REJECTED, INCORRECT EFF DATE UNCOVERED MONTHS EXCEEDS MAX POSSIBLE VALUE CAN'T CHANGE NUMBER OF UNCOVERED MONTHS December 28, 2012 I-96 TRC Groupings
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Medicare Advantage and Prescription
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