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

Issue Date: September 11, 2014

Program Area: Small Business Health Options Program (SHOP)

Question: What is the process of receiving the HIX 820 X12 files from the Marketplace (both Individual and Federally-facilitated Small Business Health Options Program ([FF-SHOP] Marketplace)?

Answer: The FF-SHOP will send HIX 820 files to Marketplace issuers only after successfully submitting the Electronic Data Interchange (EDI) Registration form that ties the Payee Group Number with the Trading Partner ID This is a two-step process: 1. Obtaining a Payee Group Number from the Vendor Management (VM) Team 2. Submitting the EDI - Onboarding forms to align the Payee groups to a Trading Partner ID

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