Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding 834 Transaction and Companion Guide
Program Area: Small Business Health Options Program (SHOP)
Question: Employer Paid Amount: Is the employer paid amount, a dollar amount or a percentage? Or can it be one or the other? If it can be one or the other, how is that designated on the 834 file?
Answer: The employer paid amount or employer responsibility amount is a dollar amount. Details about this field can be found in Section 9.6.2 SHOP Market: 2750 Member Reporting Categories Loop, Table 14. In the ASC X12 834 enrollment transaction, the SHOP Member Reporting Category Loop lists the format of the employer paid amount as: NNNNNNNN.NN
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 24, 2013
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