Introduction Direct payment from CMS to the issuer puts the onus on the issuer to make certain that their data is accurate since there will no longer be adjustments based on the issuer calculations. 820s are here and they have payers judiciously reviewing all of their processes to make certain that all the numbers add up. This is one of the most topical concerns for payers today to ensure that the policy-based payment processing, which began last month when The Centers for Medicare & Medicaid Services (CMS) started using the Healthcare Insurance Exchange (HIX) 820, communicates remittance information for four types of payments and charges, including: • Advance Payment of the Premium Tax Credits (APTCs) • Cost Sharing Reductions (CSRs) Advance Payments • Individual and SHOP User Fe

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