Product Line Context
Platform Engagement — Premium Billing in Layer 3, Available in Layer 2
This dashboard demonstrates Cloud Health Office (CHO)'s Premium Billing capability — monthly premium invoicing, NACHA/ACH generation, EFT lifecycle tracking, and member billing. Premium billing is core finance plumbing for payers collecting per member per month (PMPM) premiums from sponsor groups, members, or government programs.
Premium billing ships natively in Layer 3 — Full CAPS Platform as part of CHO's financial-domain services. For established payers on a Layer 2 — Progressive Modernization path, premium billing is available as a domain replacement; appeals is the current Layer 2 production lighthouse, with premium billing following as the strangler-fig pattern matures across additional financial domains.
The invoice generation, NACHA/ACH file production, and collections data infrastructure underneath this UI also reflects CHO's Managed Data Services capabilities — payment-data productization for customers who want billing-data services without full Platform Engagement.
💳 Premium Billing
Monthly premium invoicing, NACHA/ACH generation, EFT lifecycle tracking
| Sponsor Group | Group # | Members | Monthly Premium | EFT Status | ACH File | Payment Date | Reconciled |
|---|---|---|---|---|---|---|---|
| ACME Manufacturing | GRP-1001 | 342 | $128,450.00 | ✅ Settled | NACHA-20260416-001 | Apr 16 | ✓ |
| Lone Star ISD | GRP-1002 | 1,247 | $412,870.50 | ✅ Settled | NACHA-20260416-002 | Apr 16 | ✓ |
| Texas Municipal League | GRP-1003 | 891 | $298,142.00 | ✅ Settled | NACHA-20260416-003 | Apr 16 | ✓ |
| Heritage Health Alliance | GRP-1004 | 456 | $167,340.00 | ⏳ Pending | NACHA-20260416-004 | — | ✕ |
| Gulf Coast Employers | GRP-1005 | 623 | $214,890.75 | ⏳ Pending | NACHA-20260416-005 | — | ✕ |
| Prairie Wind Co-op | GRP-1006 | 189 | $68,420.00 | ❌ Returned | NACHA-20260416-006 | Apr 16 | ✕ |
| Meridian Hospital System | GRP-1007 | 2,104 | $742,380.00 | ✅ Settled | NACHA-20260416-007 | Apr 16 | ✓ |
| Bluebonnet Teachers | GRP-1008 | 534 | $182,187.00 | 🔴 Past Due | — | — | ✕ |