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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding 834 Transaction and Maintenance Transaction

Program Area: Small Business Health Options Program (SHOP)

Question: For Federally-facilitated Small Business Health Options Program (FF-SHOP) maintenance transactions, if there are two changes (for example, both an address and phone number change), are both transactions sent on the same maintenance file, or are these changes sent separately on different days?

Answer: The daily batched 834 file from the FF-SHOP may contain multiple transactions generated on a single day for an enrollee. For example, if the member changes his or her phone number in the first transaction and then updates his or her address in the next transaction, these 2 transactions will be batched in the same 834 file sent on the same day.

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

Issue Date: July 16, 2014

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