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.
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.
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.
The proof is public.
We validated adjudication at one million deterministic synthetic claims — and we publish the honest limits alongside the numbers.
Adjudicated
at 1M
Messages
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.
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.
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.
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.
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.
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.
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.