HIPAA Simplified

Payroll Deducted and Other Group Premium Payment

The ASC X12N Payroll Deducted and Other Group Premium Payment for Insurance Products (820) transaction allows entities such as employers to make payments to a health plan for insurance premiums.  This transaction contains remittance details relative to the payment, including information needed for balancing, reporting, and reconciling the payment and payment method.

The ASC X12N Payroll Deducted and Other Group Premium Payment for Insurance Products (820) transaction supports payments made by paper check and electronic funds transfer (EFT), including wire transfers and transfers through the Automated Clearinghouse (ACH) network.

Standards

Current Version

The current industry version of the ASC X12N Payroll Deducted and Other Group Premium Payment for Insurance Products (820) transaction is 5010. .  This version was adopted under HIPAA to replace version 4010 on January 16, 2009.

View the Regulation

The Technical Report Type 3 ASC X12N/005010X218 Payroll Deducted and Other Group Premium Payment for Insurance Products (820) can be purchased at www.x12.org/products.

Next Published Version

The next published  version of the ASC X12N Payroll Deducted and Other Group Premium Payment for Insurance Products (820) transaction will be 7030™.  

See the Change Healthcare Regulatory and Standards Quarterly Update for details concerning the X12 publication schedule.

Anticipated Regulation

Immediately following publication of 7030TM, X12 will promote the TR3 to version 8010 TM and is expected to recommend the 8010 TM version to CMS for adoption under HIPAA.

Note: Following the publication of version 8010, X12 will move to an annual release cycle of TR3s. See https://x12.org/about/arc-faq for more information.

7030TM and 8010TM are trademarks of X12.  All rights reserved.