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Vendor Management, Payments, and Collections (VMPC) FAQ

Guidance for FAQ regarding Payment Processing and Electronic Data Interchange (EDI)

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

Issue Date: November 10, 2015

Program Area: Vendor Management, Payments, and Collections (VMPC)

Question: What is the deadline for Issuers to submit a TA1/999 acknowledgement after receipt of the HIX 820 transaction?

Answer: Issuers should send the TA1/999 acknowledgement and response to the Centers for Medicare & Medicaid Services (CMS) immediately after the receipt of the HIX 820 transaction. If CMS does not receive a 999 from the Issuer acknowledging receipt of the transaction, the Electronic Data Interchange (EDI) team will contact the Issuer.

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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.