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

Issue Date: December 01, 2015

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

Question: Is the HIX 820 transaction more accurate than the Preliminary Payment Report (PPR) and how will it affect the resolution of payment discrepancies?

Answer: The HIX 820 transaction and the PPR will contain the same policy-level payment information. The HIX 820 will also have adjustment transactions reflected from prior periods. Issuers will have the option of using the PPR or the HIX 820 transaction from which to report payment discrepancies. For further guidance on discrepancy reporting, consult the Registration for Technical Assistance Portal (REGTAP) website at www.regtap.info

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