Availity Submitter/Receiver Library Entry

Please see the below screenshot for specific Availity Submitter/Receiver Library information. 

The required information is below: 

• Library Entry Name: Availity
• Export Format: Availity 837
• Claim Type: Chargeable

Submitter Information

• Type
  • 1 - Person
  • 2 - Non-Person (Business)
• Submitter ID: Your user ID (provided by Availity)
• Contact Name
• Type

Receiver Information

• Receiver Name: AVAILITY
• Receiver ID: 030240928

Header Information

• Sender ID ISA05 and IS06: ZZ - AV09311993
• Interchange Receiver ID: 01 - 030240928
• Acknowledge Requested IS14 : checked
• Test/Prod Indicator ISA15: P
• Sender Code GS02: AV01101957
• Receiver Code GS03: 030240928