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

Issue Date: September 17, 2014

Program Area: Small Business Health Options Program (SHOP)

Question: If an FF-SHOP issuer does not receive a weekly 820 file, how will the issuer know if they missed a file?

Answer: A matching 820x218 Payment Order goes to the bank with an Electronic Funds Transfer (EFT) Trace Number. To detect a missing file, Federally-facilitated Small Business Health Options Program (FF-SHOP) issuers will notice a deposit to the issuer's bank account with an EFT Trace Number without an associated 820 Remittance.

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.