Vendor Management, Payments, and Collections (VMPC) FAQ
Guidance for FAQ regarding Payment Processing and Payment Reports
Program Area: Vendor Management, Payments, and Collections (VMPC)
Question: Under what circumstances (if any) will a carrier in an State-Based Exchange (SBE) be required to send an outbound 820?
Answer: The Centers for Medicare & Medicaid Services (CMS) HIX 820 Companion Guide provides the supplemental instructions Issuers and SBEs will use when receiving HIX 820 transactions from CMS. For HIX 820 transactions between SBEs and their issuers, SBEs will work with their issuer community to establish their 820 procedures. CMS will not accept inbound 820s.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 04, 2014
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