Documentation
Everything you need to evaluate, deploy, and operate Cloud Health Office — including the public evidence behind the 1,000,000-claim local Kubernetes validation.
First Claim Evaluator Journey
Prove one synthetic claim end to end: published plan, active member coverage, provider participation, raw X12 837 intake, financial outcome, and adjudication trace.
Start the journey →1M Evidence Archive
Inspect the latest 1,000,000-claim asynchronous Service Bus run: 155.89 claims/sec, 100% eventual completion, zero dead letters, and every observed payment comparison exact.
Inspect evidence →Part 16: The Million Went Through the Bus
Latest field note. Moving the full corpus onto asynchronous Service Bus adjudication, then proving the separate raw X12 837 onramp at 100,000 claims.
Read writeup →Part 14: Zero Unsupported, Then the Parallelism Nobody Profiled
Closing the scoring gap carried since Part 9 with a first-ever zero-unsupported run, then finding and fixing why parallelism 56 had quietly underperformed lower concurrency this whole series.
Read writeup →Part 13: The Gap Was the Laptop
Closing the wall-clock gap disclosed in Part 10 and Part 12 by proving, with matching host sleep-log evidence, that macOS was suspending the local Kubernetes cluster mid-run.
Read writeup →Part 12: The Database Nobody Profiled
Two benchmark fixture bugs, a Submit-chain bottleneck traced to an under-provisioned shared database, and this series' first clean 500,000-claim confirmation.
Read writeup →Part 10: The Migration Cost That Wasn't
Testing Part 9's unconfirmed migration-cost theory at 250,000 claims, finding the real causes through profiling, and confirming a 3.5x throughput gain.
Read writeup →Part 11: The Check That Only Ran in the Benchmark
Re-investigating a bug Part 10 disclosed but didn't fix, and finding federal provider-exclusion screening had never been wired into the real adjudication pipeline — only into the benchmark endpoint.
Read writeup →Quick Start ~15 min
Clone the repo, deploy the full local Kubernetes platform, validate claims adjudication, and verify CRD discovery — no Azure account needed.
Get started →Kubernetes Reference ~15 min
Deploy the full local Kubernetes platform on Docker Desktop Kubernetes with the same namespace, DNS, and manifest shape used for cloud validation.
Kubernetes guide →Million Claim Challenge
Understand the deterministic corpus, answer key, workflow scoring, unsupported scenarios, payment gate, and proof ladder toward the full million.
Benchmark guide →CMS-0057-F Compliance
Complete guide to meeting the January 2027 CMS Interoperability and Prior Authorization Rule. Patient Access, Provider Access, Payer-to-Payer, and Prior Auth APIs.
View guide →Architecture
Multi-tenant SaaS platform architecture. Kubernetes-native with Argo Workflows, 36 microservices, 9 adjudication engines, and configuration-driven deployment.
Explore →API Reference
FHIR R4 APIs with OpenAPI 3.1 specs. Patient Access, Provider Access, Prior Authorization, Payer-to-Payer, Claims Scrubbing, Risk Adjustment, and Encounter.
Browse APIs →Deployment
From local Kubernetes to AKS, EKS, or GKE with environment-specific validation. Self-hosted deployment, GitHub Actions CI/CD, Bicep IaC, and Helm charts.
Deploy →Production Readiness Checklist
Gate go-live on tested recovery, least-privilege identity, production-sized dependencies, operational ownership, observability, and rollback proof.
Review launch gates →Backup & Disaster Recovery
Restore MongoDB or Cosmos DB, reconcile Service Bus work, rebuild Kubernetes and secrets, validate healthcare data, and measure RTO/RPO.
Open recovery runbook →Observability & Incident Response
Correlate healthcare outcomes, OpenTelemetry, Service Bus, databases, and Kubernetes; build actionable alerts and prove incident recovery.
Open operations runbook →Finance Guide
User guide for Premium Billing, Accounts Receivable, Capitation payments, and FFS payment runs. GL accounts, aging, cash posting, and provider contract management.
Read guide →Benefit Plan Configuration
Plan hierarchy, coverage tiers, cost sharing rules, accumulators, and network assignment. Configure commercial, Medicare Advantage, and Medicaid managed care benefit structures.
Read guide →Benefit Plan Evaluator Tutorials
Create and verify a plan, configure service benefits and networks, publish immutable versions, and prove the result with a member view and synthetic claim.
Start the guided series →Claims Adjudication
10-step auto-adjudication pipeline from claim ingestion through payment. Clinical edits, NCCI/MUE, repricing, COB, work queues, and 835 ERA generation.
Read guide →Submit & Follow an 837
Hands-on tutorial using a synthetic 834/837 workflow, local Kubernetes adjudication, and an illustrated portal trace.
Start tutorial →837 Operations Runbook
Monitor Service Bus, tune consumers, diagnose slow claims, handle retries and dead letters, and verify incident recovery.
Open runbook →Pended Claims Operations
Route work by pend code, review deterministic evidence, control optional AI costs, and record an auditable human disposition.
Open operations guide →Prior Authorization
Authorization requests, decision engine with 400–600+ clinical pathways, lifecycle management, and CMS-0057-F CRD/DTR/PAS API implementation.
Read guide →Eligibility & Enrollment
834 enrollment file processing, real-time 270/271 eligibility verification, PCP assignment, FHIR Coverage API, and member coverage lifecycle management.
Read guide →Fee Schedule Engine
Fee schedule ingestion pipeline and claim-time pricing engine. Ingest any schedule, price any claim line, audit every decision — sub-millisecond from Redis hot cache.
Explore →Fee Schedule
Medicare RBRVS, Medicaid state schedules, commercial contracted rates, DRG inpatient pricing, multiple procedure reduction rules, and cross-schedule resolution.
Read guide →Terminology Crosswalk
SNOMED CT to ICD-10-CM and CPT code translation for CMS-0057 compliance. Context-aware disambiguation, plan-specific overrides, and FHIR ConceptMap/$translate API.
Read guide →Provider Verification
Multi-source provider verification and integrity scoring. NPPES, OIG/LEIE exclusion screening, PECOS enrollment, CMS Open Payments, and FSMB license data aggregated into a composite 0–100 score.
Read guide →Contact our sales team to schedule a guided walkthrough of the platform — claims, authorizations, eligibility, member management, and FHIR R4 APIs. The API Sandbox provides interactive OpenAPI documentation you can explore right now.