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: Why is the Federally-facilitated Small Business Health Options Program (FF-SHOP) using the REF*1L* in the 820 transaction for the Issuer Assigned Employer Group Identifier when in all the 834 transactions, the REF*1L* is used for the Exchange Assigned Policy Identifier? Qualifier use should be consistent across Federally-facilitated Marketplace (FFM) transactions.
Answer: The FF-SHOP is following the x306 ASC X12 implementation guide. - In the 820 306: the Reference Segment is named "ISSUER ASSIGNED EMPLOYER GROUP NUMBER" - In the 834 220A1: the Reference Segment is "MEMBER POLICY NUMBER" - Both use the Qualifier "1L - Group or Policy Number"
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 03, 2014
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