AdministrationSystem AdminEDI Configuration
Trading Partners6 configured · 5 active
CMS (Medicare) Active
ISA Sender: EKLOTHO01
ISA Receiver: CMS01
Endpoint: edi.cms.gov
Protocol: SFTP
BCBS Active
ISA Sender: EKLOTHO01
ISA Receiver: BCBS01
Endpoint: edi.bcbs.com
Protocol: HTTPS
Cigna Active
ISA Sender: EKLOTHO01
ISA Receiver: CIGNA01
Endpoint: ediportal.cigna.com
Protocol: HTTPS
Change Healthcare Active
ISA Sender: EKLOTHO01
ISA Receiver: OPTUM01
Endpoint: gateway.changehealthcare.com
Protocol: AS2
Availity Active
ISA Sender: EKLOTHO01
ISA Receiver: AVLTY01
Endpoint: api.availity.com
Protocol: REST/FHIR
Optum Config Required
ISA Sender: EKLOTHO01
ISA Receiver: OPTUM02
Endpoint: connect.optum.com
Protocol: SFTP
CMS (Medicare) — Configuration
ISA Identifiers
GS Identifiers
Endpoint
Transaction Sets
837P (Professional)
837I (Institutional)
835 (ERA)
270/271 (Elig.)
278 (Auth)
834 (Enrollment)
837D (Dental)
820 (Premium)
AI Assistant

EDI Configuration manages connections to health plan trading partners for electronic transaction exchange. Each partner requires ISA/GS IDs and an endpoint URL.

  • ISA IDs are exactly 15 characters (space-padded)
  • ISA Qualifier: "00" = no security info
  • GS IDs identify functional group senders/receivers
  • Version 005010 is required for ACA compliance

Test Connection sends a TA1 acknowledgment ping to verify connectivity. A "999" functional acknowledgment test sends a minimal 837P transaction. Results are logged in audit logs.

  • 837P/I/D — Claims submission
  • 835 — Electronic remittance (ERA)
  • 270/271 — Eligibility inquiry/response
  • 278 — Prior authorization requests
  • 834 — Enrollment/disenrollment