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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding 820 Transaction and Processing

Program Area: Small Business Health Options Program (SHOP)

Question: If an issuer has one Tax Identification Number (TIN) but two separate Trading Partner IDs, will the Issuer receive a separate 820x218 transaction and a separate 820x306 transaction?

Answer: All payments are made at the Issuer level based on Issuer ID (HIOS ID). The Remittance Advice and Payment Advice do not use Tax ID Number (TIN) as a method of routing. The 820x218 is the Payment Advice that is sent to the bank based on the Routing Number / Bank Account Number listed on the Trading Partner Agreement. The 820x306 is sent to the Issuer directly and relies on the Trading Partner ID to route it to the correct location.

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

Issue Date: July 25, 2014

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