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Latest proof: clean 100,000-claim local Kubernetes validation with zero platform failures and zero scoreable mismatches. Inspect evidence →
Source-Available  ·  Evidence-Led  ·  Kubernetes-Native

Claims platform evidence
you can inspect.

Cloud Health Office is source-available payer infrastructure with a published clean 100,000-claim local Kubernetes validation: zero platform failures, zero scoreable mismatches, zero unexpected pends, and every comparable payment within one cent.
Deployable in your cloud for technical evaluation and pilot-scoped engagements.

CMS-0057-F

Compliance still matters. Evidence makes it credible.

CMS-0057-F raises the bar for payer interoperability, prior authorization APIs, payer-to-payer exchange, and operational auditability. Teams that wait until the compliance window is fully open will spend the following year reconciling vendors, interfaces, and evidence after the fact.

The organizations that engage now — validating workflows, building attribution logic, proving interoperability, and testing real adjudication behavior — will enter the compliance window with evidence, not only vendor promises.

Read the CMS-0057-F Summary →
Limited Availability

Founding Client Program

We are selecting one healthcare organization to become our Founding Client. Your organization will deploy Cloud Health Office in your own cloud environment, receive zero software licensing fees during the founding engagement, and work directly with our engineering team to prioritize future capabilities while implementing CMS-0057-F and modern health plan operations.

Zero Software Licensing

No licensing fees during the founding engagement. Host on your Azure, AWS, or GCP subscription. You own your data — and retain full ownership permanently, regardless of the vendor relationship.

Direct Engineering Access

Work side-by-side with the product engineering team. Your operational priorities become sprint priorities. Implementation assistance and priority support are included throughout the engagement.

Roadmap Influence

Shape the direction of the platform from the inside. As our Founding Client, you gain early access to new capabilities and the opportunity to help define what gets built next.

CMS-0057-F Pilot Path

Validate documented, tested implementations of prior authorization APIs, payer-to-payer exchange, and provider access APIs — before the compliance window closes.

Early Adopter Advantage

Be first to market with a fully integrated, cloud-native health plan administration platform. Optional opportunity to serve as a reference customer and establish category leadership.

Enterprise-Grade Controls

HIPAA-oriented controls, RBAC, audit logging, and deployment isolation from day one. Built for health plan compliance requirements — not retrofitted after the fact.

We are selecting one Founding Client. Engagement is limited and evaluated on fit.

Apply for the Founding Client Program →
The Process

How It Works

From application to a scoped pilot in under 8 weeks — in your own cloud subscription.

Apply and align on scope

We learn your current stack, your CMS-0057-F priorities, and the workflows that matter most. Together we define a focused first milestone.

1–2 weeks

Deploy to your subscription

We handle the full infrastructure setup in your Azure, AWS, or GCP environment. Your team watches and approves — no black-box vendor access, no data ever leaves your walls.

2–4 weeks

Validate & co-develop

Your team validates the platform in a production-shaped environment. We run joint sprints to build out workflows, tune attribution logic, and prioritize your roadmap based on measurable findings.

Ongoing collaboration

Who is this for?

Built for payer infrastructure.

Cloud Health Office is the compliance and modernization layer for health plans, TPAs, and payer operations teams running on legacy core admin systems.

CMS-0057-F Compliance

Compliance surface for the CMS Interoperability and Prior Authorization Rule, deployable alongside existing core admin systems without replacing the adjudication path.

Multi-Clearinghouse EDI

Multi-clearinghouse integration patterns for Availity, Change Healthcare, Optum, and Inovalon, with source-visible implementation and configurable routing.

X12 to FHIR R4 Transformation

Automated transformation of X12 EDI transactions (270/837/278/835) to FHIR R4 resources, designed for repeatable validation and tenant-aware operation.

Legacy Core Augmentation

Sits alongside QNXT, Facets, HealthEdge, or Amisys. Reads from your existing system, exposes FHIR R4 APIs — without touching your core operations.

HIPAA-Grade Security

BAA-ready operating model, automated dependency scanning, encryption, PHI-aware telemetry controls, audit trails, and compliance reporting foundations.

Flexible Deployment

Kubernetes-native architecture with Argo Workflows on AKS, EKS, or GKE. Container-based microservices with full infrastructure ownership. Deploy to your own subscription.

Premium Billing & ACH

Automated monthly premium invoicing with NACHA/ACH file generation, EFT draft lifecycle management, and Stripe ACH integration. Batch billing runs with sponsor-level invoicing and audit trails.

“Our Founding Client won’t be evaluating a slide deck — they’ll validate a production-shaped platform, running in their own environment, under their own control, at zero licensing cost.”

One client. No licensing cost. Your cloud.

Apply for the Founding Client Program

Tell us about your organization and your CMS-0057-F priorities. We respond to every application personally within 2 business days.

Prefer to talk first? Schedule a discovery call →

We respond personally to every application within 2 business days. No automated queues.

Application received

Thank you — we’ll respond personally within 2 business days. Questions in the meantime? Email clients@cloudhealthoffice.com

Prefer to talk first? Schedule a discovery call →

The Portfolio

Four product lines.
One platform.

Cloud Health Office engages customers across four complementary product lines, each a coherent offering on its own, each connecting naturally to the next. Enter where the pain is. Expand where the leverage is.

Public Tools

Free utilities. No signup.

Fee schedule lookup and free-tier claims repricing. Verify the calculation engines before any commercial conversation begins.

Transactional Services

Per-call APIs. Self-serve subscription.

Claims Repricing API and Pricing API for developers, billing companies, TPAs, and integrators. Free tier flows to paid tier on usage.

Managed Data Services

Subscription data. Recurring value.

State Medicaid compliance updates, CMS fee schedule updates, provider verification, terminology mapping. Healthcare data that changes constantly — tracked for you.

Platform Engagement

Payer-scale. Priced PMPM.

Multi-year relationships priced per member per month, across three layers: Compliance Accelerator, Progressive Modernization, and Full CAPS Platform.

See POSITIONING.md for the canonical framing.

Choose your entry point

Three layers.
One Platform Engagement.

Within Platform Engagement, Cloud Health Office engages customers at three layers, each a coherent product on its own, each containing the previous. Meet us where your constraints are.

Layer 1 — Compliance Accelerator

Meet CMS-0057-F without replacing your core.

FHIR compliance surface deployable alongside your existing QNXT, HealthEdge, or Facets. Weeks-to-deploy pilot path.

See compliance details →

Layer 2 — Progressive Modernization

Replace your legacy core, one domain at a time.

The strangler-fig path — your system of record stays stable while Cloud Health Office takes over appeals, then capitation, then claims, at your pace. Appeals shipped and validated first.

See the appeals reference implementation →

Layer 3 — Full CAPS Platform

End-to-end cloud-native claims administration.

36 services, 9 engines, Argo-orchestrated adjudication, full X12 EDI. For new entrants today; for established payers, the milestone after Layer 2.

See the platform inventory →

Not sure where to start? See POSITIONING.md.

Platform Engagement · Layer 1 to Layer 3
local-demo/operations/work-queues
Cloud Health Office Claims Work Queues — showing NCCI/MUE Edit Failures, Missing Prior Auth, Provider Not Contracted, COB/Other Payer, and Medical Review queues with real claim data

Claims Work Queues — NCCI/MUE edits, prior auth, COB, provider contracting, and medical review. Cloud Health Office

100K Clean Local
Validation
0 Platform
Failures
0 Scoreable
Mismatches
2,000 Payment Checks
Within One Cent
Million Claim Challenge

The proof ladder is public.

The Million Claim Challenge is designed for one million deterministic synthetic claims across professional, institutional, dental, and 29 named edge-case scenarios. The latest published Cloud Health Office proof is the clean 100K local Kubernetes run: every claim processed, zero platform failures, zero scoreable workflow mismatches, zero unexpected pends, and every comparable payment within one cent.

11,534 Workflow Checks
Matched
0 Unexpected
Pends
1,466 Unsupported
Separated
$0.00 Average Payment
Delta
Inspect the 100K Evidence → Explore the Benchmark Methodology →
What the Evidence Says

Current proof, next bottleneck.

The 100K result is a local Docker Desktop Kubernetes validation, not a production cloud capacity claim and not the full million yet. It proves the stronger scoring gates can hold at 100K, while exposing the next local bottleneck: fixture preparation dominated the total job lifecycle. That is the next optimization target before 250K, 500K, and the full million.

Read the 100K writeup →
CMS-0057-F

CMS-0057-F Surface, Source Visible.

The compliance APIs are implemented and inspectable today. Production readiness, integrations, and operating evidence should be validated in each payer environment.

CMS-0057-F compliance diagram showing Patient Access API, Provider Access API, Prior Authorization, Payer-to-Payer API, and Provider Directory API — all complete
✓ Patient Access API ✓ Provider Access API ✓ Prior Authorization API ✓ Payer-to-Payer API ✓ Da Vinci IGs

Be Ready for CMS-0057-F.
On your terms.

Deploy in your cloud. Go live with your team. Move without betting your operations on a replatform.

Become Our Founding Client → Read the CMS-0057-F Guide →
Prefer to talk first? Schedule a discovery call →