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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding 820 Transaction and Companion Guide

Program Area: Small Business Health Options Program (SHOP)

Question: Are the Related Report Type values within the files, the only differentiation from the Individual 820 APTC payment files and the Federally-facilitated Small Business Health Options Program (FF-SHOP) employer payment files?

Answer: SHOP and Individual Marketplace 820 transactions can be differentiated by function codes in the 820 transaction file name. For Individual 820 transactions, the function code is 'F820' and for SHOP 820 transactions, the function code is 'S820'.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 03, 2014

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