Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding 834 Transaction and Initial Transaction
Program Area: Small Business Health Options Program (SHOP)
Question: Will the ASC X12 834 enrollment transactions contain the issuer's group number?
Answer: Initial ASC X12 834 enrollment transactions sent by the FF-SHOP to a QHP issuer will not contain the issuer's Policy ID, as the FF-SHOP will not yet possess this data. The initial ASC X12 834 enrollment transaction will include an exchange assigned Policy ID, generated by the FF-SHOP. Subsequent FF-SHOP generated ASC X12 834 enrollment transactions for a group's policy will include the exchange assigned Policy ID and issuer-generated Policy ID (once effectuation transaction is sent to FF-SHOP by issuers).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 28, 2013
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.