Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 I.10 BEQ Response File Error Condition Table I.10.1 Request File Error Conditions The following table contains File Level Error information. File Level Errors represent conditions in which a BEQ Request File is rejected and not processed. Table I-8: File Level Error information SOURCE OF ERROR Header Record Header Record Trailer Record Trailer Record File Content ERROR MESSAGE The Header Record is missing. The Header Record is Invalid. The Trailer Record is missing. The Trailer Record is invalid. The File has no Transactions. ERROR CONDITION ● The Header Record is not provided on the file. ● The Header Record is unreadable. ● More than one Header Record is provided on the file. ● The Header Record is incorrectly formatted. ● The Header Record contains invalid values. ● The Header Record contains Critical Fields that are not provided. ● The Trailer Record is not provided on the file. ● The Trailer Record is unreadable. ● More than one Trailer Record is provided on the file. ● The Trailer Record is incorrectly formatted. ● The Trailer Record contains invalid values. ● The Trailer Record contains Critical Fields that are not populated. ● The Record Count in the Trailer Record is more than 2 different from the actual number of Detail Records (Transactions) in the file. ● There are no Transactions (Detail Records) found in the file. December 28, 2012 I-111 BEQ Response File Error Condition Table
Plan Communications User Guide Appendices, Version 6.3 I.10.2 Request Transaction Detail Record Error Conditions The following Flag fields are provided in the Response File Detail Record. Flag fields represent the successful or unsuccessful result of processing data within a Transaction Detail Record of the input file. Table I-9: Error Conditions FLAG FLAG CODE FLAG CODE RESULT FLAG RESULT CONDITION Processed Flag Y The Transaction is accepted for processing. All critical fields on the Transaction are populated with valid values. Processed Flag N The Transaction is not accepted for processing. At least one critical field on the Transaction is populated with a value other than the prescribed valid values. Beneficiary Match Flag Y The beneficiary on the Transaction is successfully located in the MBD. The beneficiary is successfully located by the combination of the HICN or RRB, SSN; date of birth, and gender. Beneficiary Match Flag N The beneficiary on the Transaction is not successfully located in the MBD. The beneficiary is not successfully located by the combination of the HICN or RRB, SSN; date of birth, and gender. Beneficiary Match Flag SPACE No attempt made to locate the beneficiary on the MBD. An invalid condition exists in the Transaction Detail Record such as an unexpected, absent, or invalid value in a Critical Field. December 28, 2012 I-112 BEQ Response File Error Condition Table
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