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Health Insurance Exchange Related Payments 005010 X306

The Health Insurance Exchange Related Payment implementation guide describes the use of the X12 Payment Order/Remittance Advice (820) transaction set to communicate remittance information describing several different types of payments related to Health Insurance Exchange functions, including premium payments, advance payment of the premium tax credit (APTC), risk adjustments, advanced cost-share payments, and reconciliation payments.

Intended trading partners include: issuers, Health Insurance Exchanges, states or designees, federal agencies or designees.


  • Type:

    TR3

  • Industries:

    Health Care & Insurance

  • Intended Trading Partners:

    Intended trading partners include: issuers, Health Insurance Exchanges, states or designees, federal agencies or designees.

  • Set ID:

    820

  • Version:

    005010

  • Maintained By:

    X12N

  • Publication Date:

    01/01/2013

  • Publication ID:

    X306

  • Resources:

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