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HIP PRIME POS FOR SMALL GROUPS (2-50 Employees) GHI and HIP are EmblemHealth companies Prime Network Premium Network Group Name CO-PAYMENT OPTIONS (Select one from each category) PCP office visit
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HIP PRIME POS (Health Insurance Premium Payment Offset System) is used to report and reconcile the premium tax credit payments made on behalf of individuals enrolled in qualified health plans through the Marketplace.
Health Insurance Issuers and Third Party Administrators (TPAs) are required to file HIP PRIME POS for each calendar year in which they make premium tax credit payments to qualified health plans beneficiaries.
HIP PRIME POS can be filled out electronically using the required data elements as specified by the IRS. The form must be submitted electronically through the HIP PRIME system.
The purpose of HIP PRIME POS is to accurately report and reconcile the premium tax credit payments made on behalf of individuals enrolled in qualified health plans through the Marketplace.
HIP PRIME POS requires reporting of various data elements including recipient information, policy information, payment information, and reconciliation amounts.
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