Documentation
Everything you need to evaluate, deploy, and operate Cloud Health Office — the integration layer for healthcare payer core administration systems.
Quick Start (Docker) ~15 min
Clone the repo, start the Docker stack, submit a claim through the full adjudication pipeline, and generate an 835 ERA — no Azure account needed.
Get started →Quick Start (Kubernetes) ~15 min
Deploy the full 25-service platform on Docker Desktop Kubernetes — identical namespace, DNS, and manifests as production Azure AKS.
Kubernetes 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
7 production 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 Docker Compose to production AKS, EKS, or GKE. SaaS signup, self-hosted deployment, GitHub Actions CI/CD, Bicep IaC, and Helm charts.
Deploy →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 →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 →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.