57 pages. "This companion guide ... clarifies and specifies data content for payment related information transmitted electronically from [CMS] as a part of implementation of Health Insurance Marketplaces ... CMS will use the HIX 820 to communicate Individual, Small Group, and SHOP Marketplace-related payment information to issuers or their designees ... and to also provide APTC and CSR payment information to State Based Marketplaces (SBM) related to issuers within their state. This document details the data elements CMS will send when issuing an explanation of such payments. The funds transfer function is handled separately and details of the actual funds transfer are not included in this companion guide." [CMS has also released two draft code lists referenced in this Guide: ASC X12 HIX 820 X306 Exchange Related Report Type Codes and ASC X12 HIX 820 X306 Exchange Payment Type Codes.]  MORE >>