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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding 834 Transaction and Effectuation Transaction

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 09, 2017

Program Area: Small Business Health Options Program (SHOP)

Question: Can CMS confirm the type of dependent for which the relationship code G8 is used?

Answer: The G8 Relationship code is used to describe a dependent who is not a child, or fitting any other description for the existing relationship codes. Additional information can be found using the link below; please review page 85: http://www.cprplus.com/support/documents/other-billing/external-code-list-201504.pdf

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.