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Founding Client Program: one health plan, zero licensing cost, deployed in your own cloud. Apply now →
Source-Available  ·  Evidence-Led  ·  Kubernetes-Native

Meet CMS-0057-F without
replacing your core system.

Cloud Health Office deploys a compliance and modernization layer alongside QNXT, Facets, or HealthEdge — so you can meet the mandate in weeks, then modernize on your own timeline. No multi-year replatform.

Or inspect the public evidence  ·  view source on GitHub

The platform in one view

From raw claim to inspectable outcome.

Cloud Health Office turns healthcare transactions into durable work, routes them through focused payer services, and preserves the evidence needed to explain what happened.

Healthcare transaction cards converge into a secure intake pipeline, move through an asynchronous message hub and modular payer services, then resolve into an evidence store, audit ledger, and verified claim outcome.
1 · IntakeX12 and API transactions become validated, durable work.
2 · ProcessEligibility, pricing, adjudication, and payment services scale independently.
3 · ProveOutcomes, lifecycle events, and audit evidence stay connected.
Conceptual platform view. Exact integrations and operating topology are validated for each payer environment.
The problem — and the low-risk path

The deadline is real. A full core replacement isn’t the only answer.

CMS-0057-F requires new FHIR APIs for patient access, prior authorization, and payer-to-payer exchange. Waiting risks a scramble; ripping out your core admin system risks a multi-year, high-stakes project you don’t have time for.

Cloud Health Office is the low-risk path: a compliance layer that sits alongside your existing core. You meet the mandate in weeks — then modernize domain by domain, at your own pace, with your system of record intact.

Read the CMS-0057-F Summary →
Million Claim Challenge

The proof is public.

We validated adjudication at one million deterministic synthetic claims — and we publish the honest limits alongside the numbers.

1M Claims
Adjudicated
155.89 Claims/Sec
at 1M
0 Dead-Letter
Messages
$0.00 Average Payment
Delta

These figures are from local Docker Desktop Kubernetes validation, not a production-cloud capacity claim. Every one of the 1,000,000 claims was verified terminal, with zero dead letters or pod restarts.

Inspect the Evidence Archive → Read the Part 16 Write-up →
Your cloud, your data Deploy in your own Azure, AWS, or GCP subscription. You own it permanently.
PHI never leaves your walls No black-box vendor access to member data. Processing stays inside your environment.
Private endpoints Network-isolated services and private connectivity, not the public internet.
Full audit evidence Every claim outcome carries a connected lifecycle and audit ledger you can inspect.
Where you start

Three layers, at your pace.

Most established payers start at Layer 1 — compliance — and expand only when they're ready. Same platform, same team, no new vendor.

Layer 1 — Compliance Accelerator

Meet CMS-0057-F without replacing your core. FHIR compliance surface deployable alongside QNXT, HealthEdge, or Facets, on a weeks-to-deploy pilot path. Most payers start here.

Layer 2 — Progressive Modernization

Replace your legacy core one domain at a time. Your system of record stays stable while Cloud Health Office takes over a domain at your pace. Appeals shipped and validated first.

Layer 3 — Full Platform

End-to-end cloud-native claims administration. For new entrants today; for established payers, the eventual milestone once earlier domains have cut over.

See the full platform →

Who it's for

Built for payer operations teams.

For Medicaid MCOs, Medicare Advantage plans, and TPAs running on QNXT, Facets, HealthEdge, or Amisys — four outcomes, all alongside your existing core.

CMS-0057-F Compliance Surface

The FHIR APIs the mandate requires — patient access, prior authorization, payer-to-payer — running alongside your core without replacing the adjudication path.

Multi-Clearinghouse EDI + Prior Auth

One connection across Availity, Change Healthcare, Optum, and Inovalon, with automated prior authorization workflows that replace manual and fax-based review.

Progressive Modernization

A strangler-fig path to replace your legacy core one domain at a time, on your schedule. Your system of record stays authoritative until you choose to cut over.

Source-Available, Your Cloud

Inspect every line and deploy in your own Azure, AWS, or GCP subscription. No black-box vendor lock-in; your data never leaves your walls.

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 Licensing, Your Cloud

No licensing fees during the founding engagement. Deploy in your own Azure, AWS, or GCP subscription. You own your data and retain that ownership permanently.

Direct Engineering Access

Work side-by-side with the engineers building the platform. Your operational priorities become their sprint priorities, with implementation help throughout.

Roadmap Influence

Shape the platform from the inside. As our Founding Client you get early access to new capabilities and help define what gets built next.

CMS-0057-F Pilot Path

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

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

Apply for the Founding Client Program →
The Process

From application to pilot

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

1,000,000 claims persisted. 1,000,000 eventually terminal. Zero dead letters. The run artifacts are public.

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 →

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.

Apply for the Founding Client Program → Schedule a discovery call →

Ready to meet CMS-0057-F on your terms?

Apply for Founding Client → Schedule a call