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Back   Health Insurance Exchange Related Payments (005010X306)

Purpose

The Health Insurance Exchange Related Payment Technical Report Type 3 describes the use of the ASC X12 Payment Order/Remittance Advice (820) transaction set for: - the payment of premium - the advance payment of premium tax credits and cost-sharing reduction amount - annual reconciliations

Primary Trading Partners

Trading partners may include but are not limited to: - Issuers - Health Insurance Exchanges -- State or designee -- Federal or designee

Exceptions/Limitations

Only to be used for Exchange related payments.

References

This is the first implementation guide for this business purpose.

Coordination

ANSI ASC X12N TG2/WG4 (Enrollment)

Additional Information

Registered 9/14/2012 Published 1/1/2013
Transaction Set ID 820 Standard Version 005010
ASC X12 DM# Owning Group X12N/HIX