Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 290I 295M 300R 060R 116R 134I 140A 171R 172R 188A 130R 131A 241I 210A 220R 119A 120A 122R 123R 144M 170I 173R 179A 182I 191A 206I 213I 222I 237I 240A 243R 252I 253M 267M IEP NUNCMO RESET LOW INCOME NUNCMO RESET NUNCMO CHANGE REJECTED, EXCEEDS MAX POSSIBLE VALUE PLAN CHANGES TRC GROUPING TRANSACTION REJECTED, NOT ENROLLED IN PLAN ENROLLMENT OR CHANGE REJECTED; INVALID SEGMT NUM MISSING SECONDARY INSURANCE INFORMATION SEGMENT ID CHANGE ACCEPTED RECORD UPDATE REJECTED, INVALID CHG EFFECTIVE DATE CHANGE REJECTED; CREDITABLE COVERAGE//2 DRUG INFO NOT APPLICABLE NO CHANGE IN SEGMENT ID PART D OPT OUT TRC GROUPING PART D OPT-OUT REJECTED, OPT-OUT FLAG NOT VALID PART D OPT-OUT ACCEPTED NO CHANGE IN PART D OPT OUT FLAG POINT OF SALE (POS) TRC GROUPING POS ENROLLMENT ACCEPTED TRANSACTION REJECTED; INVALID POS ENROLL SOURCE CODE PREMIUM PAYMENT TRC GROUPING PREMIUM AMOUNT CHANGE ACCEPTED PREMIUM PAYMENT OPTION CHANGE SENT TO W/H AGENCY ENROLLMENT/CHANGE REJECTED, INVALID PREM AMT ENROLLMENT/CHANGE REJECTED, INVALID PREM PAY OPT CD PREMIUM PAYMENT OPTION CHANGED TO DIRECT BILL PREMIUM WITHHOLD OPTION CHANGE TO DIRECT BILL CHANGE REJECTED; PREMIUM NOT PREVIOUSLY SET TRANSACTION ACCEPTED- NO CHANGE TO PREMIUM RECORD INVALID PTC PREMIUM SUBMITTED, CORRECTED NO CHANGE IN PREMIUM WITHHOLD OPTION PART C PREMIUM HAS BEEN CORRECTED TO ZERO PREMIUM WITHHOLD OPTION CHANGE TO DIRECT BILL BENE EXCLUDED FROM TRANSMISSION TO SSA/RRB PART B PREMIUM REDUCTION SENT TO SSA TRANSACTION RECEIVED, WITHHOLDING PENDING CHANGE TO SSA WITHHOLDING REJECTED DUE TO NO SSN PREM PAYMENT OPTION CHANGED TO DIRECT BILL, NO SSN CHANGED TO DIRECT BILL; NO FUNDS WITHHELD PREMIUM PAYMENT OPTION SET TO "N" DUE TO NO PREMIUM December 28, 2012 I-97 TRC Groupings
Plan Communications User Guide Appendices, Version 6.3 154M 260R 261R 265A 266R 282A 283R RESIDENCE ADDRESS CHANGE TRC GROUPING OUT OF AREA STATUS REJECTED; BAD END DATE, REJECT RESIDENCE ADDRESS CHANGE REJECTED; INCOMPLETE RESIDENCE ADDRESS INFORMATION RESIDENCE ADDRESS CHANGE ACCEPTED, NEW SCC UNABLE TO RESOLVE SSA STATE COUNTY CODES RESIDENCE ADDRESS DELETED RESIDENCE ADDRESS DELETE REJECTED 120A PPO CHANGE SENT TO W/H AGENCY RRB TRC GROUPING 123R 144M 185M 186I 191A 222I 252I 254I 255I 256I ENROLLMENT/CHANGE REJECTED, INVALID PRE PAY OPT CD PREMIUM PAYMENT OPTION CHANGED TO DIRECT BILL WITHHOLDING AGENCY ACCEPTED TRANSACTION WITHHOLDING AGENCY REJECTED TRANSACTION NO CHANGE IN PREMIUM WITHHOLD OPTION BENE EXCLUDED FROM TRANSMISSION TO SSA/RRB PRE PAYMENT OPTION CHANGED TO DIRECT BILL; NO SSN BENE SET TO DIRECT BILL, SPANS JURISDICTION PLAN SUBMITTED RRB W/H FOR SSA BENE PLAN SUBMITTED SSA W/H FOR RRB BENE 262R 085M 138M 154M 305M BAD RRB PREMIUM WITHHOLD EFFECTIVE DATE SCC ADDRESS TRC GROUPING STATE AND COUNTY CODE CHANGE BENEFICIARY ADDRESS CHANGE TO OUTSIDE THE U.S. OUT OF AREA STATUS ZIP CODE CHANGE SPECIAL REPLY TRC GROUPING 990-995 APPEAR ON SPECIAL TRR GENERATED FOR SPECIFIC PURPOSE. WHEN A SPECIAL TRR PRODUCES ONE OF THESE CODES, CMS WILL PROVIDE COMMUNICATIONS TO EXPLAIN THE TRC 996 EOY LOSS OR LOW INCOME SUBSIDY STATUS 997-999 APPEAR ON SPECIAL TRR GENERATED FOR SPECIFIC PURPOSE. WHEN A SPECIAL TRR PRODUCES ONE OF THESE CODES, CMS WILL PROVIDE COMMUNICATIONS TO EXPLAIN THE TRC 185M 186I 195M 235I 236I 243R WITHHOLDING AGENCY ACCEPTED TRANSACTION WITHHOLDING AGENCY REJECTED TRANSACTION SSA TRC GROUPING SSA UNSOLICITED RESPONSE (SSA WITHHOLD UPDATE) SSA ACCEPTED PART B REDUCTION TRANSACTION SSA REJECTED PART B REDUCTION TRANSACTION CHANGE TO SSA WITHHOLDING REJECTED DUE TO NO SSN 048 R NURSEING HOME CERTIFIABLE STATUS SET SYSTEM NOTIFICATION TRC GROUPING December 28, 2012 I-98 TRC Groupings
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Medicare Advantage and Prescription
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CMS Transmittals to the Plans Plan
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ID# Transmittal Monthly Transmittal
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Medicare Advantage and Prescription Drug Plans December 28 ...

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