Administration Module

Centralized system administration for the eKlotho Nexus platform, providing security management, user governance, EDI configuration, fee schedule maintenance, and system-wide settings.

11
Pages
4
API Endpoints
3
High-Priority Orgs
5
Requirements

Organization Relevance

MCO: High Health Plan: High MSO: High TPA: Medium IPA: Medium PHO: Medium ACO: Medium FQHC: Medium

How It Works

The Administration module provides a unified control panel for platform operators. System administrators configure user roles and permissions, manage multi-factor authentication policies, set up EDI transaction routing, maintain fee schedules for claims pricing, configure SLA thresholds for operational monitoring, and manage third-party integrations. All administrative actions are captured in immutable audit logs for compliance.

Requirements

  • System Administrator or Super Admin role assignment
  • Multi-factor authentication enabled for admin accounts
  • HIPAA Security Rule compliance for access controls
  • Audit log retention per organizational policy (minimum 6 years)
  • EDI trading partner agreements for electronic transactions

Target Audience

System Administrators, Compliance Officers, IT Security Teams, Platform Operators

Pages (11)

PagePurposeKey Features
Admin Dashboard Central overview of system health, active users, recent audit events, and critical alerts System health metrics, Active session monitoring, Recent audit log entries, Quick action buttons
Audit Logs Immutable record of all system actions for compliance and forensic analysis Searchable audit trail, User action tracking, Export capabilities, Retention policy management
EDI Configuration Configure electronic data interchange trading partners and transaction routing Trading partner setup, Transaction type mapping, Connection testing, Error monitoring
Fee Schedules Maintain fee schedules used for claims pricing and provider reimbursement Fee schedule upload, Version management, Rate comparison, Effective date control
Integrations Manage third-party system integrations and API connections Integration catalog, Connection status, API key management, Webhook configuration
Admin Manual Administrative documentation and operational procedures reference Searchable documentation, Procedure guides, FAQ section, Version history
MFA Settings Configure multi-factor authentication policies for platform security MFA method configuration, Policy enforcement, Recovery options, Compliance reporting
Roles & Permissions Define and manage role-based access control for all platform functions Role hierarchy, Permission matrix, Custom role creation, Assignment management
SLA Configuration Set service level agreement thresholds and monitoring parameters SLA threshold setup, Alert configuration, Performance tracking, Reporting rules
System Configuration Platform-wide settings including branding, defaults, and feature flags Global settings, Feature toggles, Branding configuration, Default values
User Management Create, modify, and deactivate user accounts with role assignments User CRUD operations, Bulk import/export, Role assignment, Activity tracking

API Integrations

  • User management API (SCIM 2.0)
  • Audit log export API
  • EDI configuration API (X12 partner management)
  • LDAP/SAML/OIDC integration for SSO

Referenced Resources

  • HIPAA Security Rule (45 CFR Part 164)
  • X12 EDI Implementation Guides
  • NIST Cybersecurity Framework
  • CMS Security Standards

Expected Results

Secure, auditable platform governance with role-based access control, EDI transaction readiness, and comprehensive system configuration management.