Frequently Asked Questions

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FAQ

Why did I receive a TRC 045 - Enrollment Rejected, Beneficiary is in ESRD, when I tried to enroll a beneficiary that no longer has End Stage Renal Disease (ESRD)?

Once a beneficiary has been flagged as ESRD, even after a successful transplant, the beneficiary is still considered to have ESRD. Plans will have to submit batch enrollment transactions for such beneficiaries using the ESRD override. If Plans submit the enrollment without the override, the transaction will be rejected.
(FAQ19497)

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