Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding 820 Transaction and Companion Guide
Program Area: Small Business Health Options Program (SHOP)
Question: Will there be a version of the X12 820 transaction with premium information sent to issuers by the FF-SHOP?
Answer: In the first year of the program (2014), there will not be any premium payment transaction reporting done with the FF-SHOP. However, when the premium aggregation program becomes available in the FF-SHOP, we anticipate using an X12 820 transaction to communicate information about premium payments.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 20, 2013
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.