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

Issue Date: October 02, 2014

Program Area: Small Business Health Options Program (SHOP)

Question: If an issuer has one Trading Partner ID and two Health Insurance Oversight System (HIOS) IDs, how many 820 Payment transactions will the issuer receive?

Answer: The FF-SHOP makes all payments at the Issuer level based on the Issuer ID (HIOS ID). The 820x306 relies on the Trading Partner ID to route the transaction to the correct location. For this scenario, the issuer will receive two (2) 820 transactions from the FF-SHOP.

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