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v4.0.0  ·  Production SaaS  ·  2,800 Tests  ·  Zero Vulnerabilities

CMS-0057-F Compliance
Without Replacing Your
Core Admin System

Meet the CMS interoperability mandate on your existing QNXT, Facets, or HealthEdge platform.
Augment now. Modernize at your pace. Replace later — only if you want to.

The Portfolio

Four product lines.
One platform.

Cloud Health Office engages customers across four complementary product lines, each a coherent offering on its own, each connecting naturally to the next. Enter at any line and expand over time.

Public Tools

Free utilities. No signup.

Fee schedule lookup and free-tier claims repricing. Verify the calculation engines before any commercial conversation begins.

Transactional Services

Per-call APIs. Self-serve subscription.

Claims Repricing API and Pricing API for developers, billing companies, TPAs, and integrators. Free tier flows to paid tier on usage.

Managed Data Services

Subscription data. Recurring value.

State Medicaid compliance updates, CMS fee schedule updates, provider verification, terminology mapping. Healthcare data that changes constantly — tracked for you.

Platform Engagement

Payer-scale. Priced PMPM.

Multi-year relationships priced per member per month, across three layers: Compliance Accelerator, Progressive Modernization, and Full CAPS Platform.

See POSITIONING.md for the canonical four-product-line framing.

Choose your entry point

Three layers.
One Platform Engagement.

Within Platform Engagement, Cloud Health Office engages customers at three layers, each a coherent product on its own, each containing the previous. Meet us where you are — expand when you’re ready.

Layer 1 — Compliance Accelerator

Meet CMS-0057-F without replacing your core.

Production-ready FHIR surface deployable alongside your existing QNXT, HealthEdge, or Facets. Weeks to deploy.

See compliance details →

Layer 2 — Progressive Modernization

Replace your legacy core, one domain at a time.

The strangler-fig path — your system of record stays stable while Cloud Health Office takes over appeals, then capitation, then claims, at your pace. Appeals shipped and validated.

See the appeals reference implementation →

Layer 3 — Full CAPS Platform

End-to-end cloud-native claims administration.

36 services, 9 engines, Argo-orchestrated adjudication, full X12 EDI. For new entrants today; for established payers, the milestone after Layer 2.

See the platform inventory →

Not sure where to start? See POSITIONING.md for the three-layer model in detail.

Production Platform · v4.0.0
portal.cloudhealthoffice.com/operations/work-queues
Cloud Health Office Claims Work Queues — showing NCCI/MUE Edit Failures, Missing Prior Auth, Provider Not Contracted, COB/Other Payer, and Medical Review queues with real claim data

Claims Work Queues — NCCI/MUE edits, prior auth, COB, provider contracting, and medical review. The Sentinel v4.0.0

250K+ GitHub Clones
0 Security
Vulnerabilities
<1hr Production
Deployment
2,800 Tests
Across 44 Projects
The Platform

Modernize now.
Replace later.

A compliance and modernization layer that works alongside your legacy core admin system — delivering CMS-0057-F readiness, FHIR R4, and EDI automation without replatforming.

CMS-0057-F Compliance

Complete compliance with the CMS Interoperability and Prior Authorization Rule — 18 months ahead of the January 2027 deadline. Zero external dependencies.

Multi-Clearinghouse EDI

Native connectors for Availity, Change Healthcare, Optum, and Inovalon. Failover capability, zero vendor lock-in, and full business continuity.

X12 to FHIR R4 Transformation

Automated transformation of X12 EDI transactions (270/837/278/835) to FHIR R4 resources. Real-time, bidirectional, production-tested at scale.

Legacy Core Augmentation

Sits alongside QNXT, Facets, HealthEdge, or Amisys. Reads from your existing system, exposes FHIR R4 APIs — without touching your core operations.

HIPAA-Grade Security

BAA included. Zero known vulnerabilities. End-to-end encryption. Production-ready audit trails and compliance reporting — out of the box.

Flexible Deployment

Kubernetes-native architecture with Argo Workflows on AKS, EKS, or GKE. Container-based microservices with full infrastructure ownership. Deploy to your own subscription.

Premium Billing & ACH

Automated monthly premium invoicing with NACHA/ACH file generation, EFT draft lifecycle management, and Stripe ACH integration. Batch billing runs with sponsor-level invoicing and return processing.

CMS-0057-F

Compliant. 18 Months Early.

The January 2027 deadline is not a future problem. It was solved in production, now.

CMS-0057-F compliance diagram showing Patient Access API, Provider Access API, Prior Authorization, Payer-to-Payer API, and Provider Directory API — all complete
✓ Patient Access API ✓ Provider Access API ✓ Prior Authorization API ✓ Payer-to-Payer API ✓ Da Vinci IGs ✓ USCDI v1/v2

Transform X12 EDI (270/837/278/835) to FHIR R4 with zero external dependencies.
2,800 comprehensive tests across 44 test projects. v4.0.0 production-ready.

CMS-0057-F Compliance Guide →
Results

Real outcomes.
Anonymized. Specific.

Health plans don’t announce wins. The numbers tell the story.

Medicaid MCO

CMS Compliance Without a Core Upgrade

Regional Medicaid MCO needed CMS-0057-F compliance without an 18-month core platform replatform. Deployed in 3 weeks. Live in production with zero disruption.

<3 weeks
from first deployment to production live
  • Avoided $2M+ core platform upgrade cost
  • Live 18 months before the CMS deadline
  • Zero impact to existing claim operations
Regional Health Plan

Multi-Clearinghouse Resilience

Health plan dependent on a single clearinghouse added secondary failover capability. Zero transactions lost during a major clearinghouse outage.

100%
transaction continuity during clearinghouse outage
  • Secondary clearinghouse live in under 1 week
  • Eliminated single point of operational failure
  • Reduced EDI vendor dependency risk
Medicare Advantage

BPaaS Exit to Internal Control

Medicare Advantage plan exiting a BPaaS vendor needed internal operations capability within 6 months. Delivered ahead of schedule with full audit trail.

-64%
reduction in external vendor costs, year-over-year
  • Full ownership of integration infrastructure
  • Predictable Azure infrastructure costs
  • Internal team fully operational within 90 days
Architecture

Full Claims Pipeline.
When you’re ready for it.

Start with CMS-0057-F compliance as a layer on your legacy system. Over time, activate modular claims adjudication, benefit engines, and more — at your pace.

837 claims adjudication pipeline showing 10-step flow from SFTP ingestion through Kafka, claims service API, benefit engine, to approved or denied outcome
Infrastructure

One platform.
Any cloud.

Kubernetes-native architecture with Argo Workflows. Deploy on any cloud or on-premise with full infrastructure control.

Kubernetes with Argo Workflows

Best for: Enterprise control, cloud independence, production-grade orchestration

  • Deploy on Azure AKS, AWS EKS, or GCP GKE
  • Argo Workflows for Kubernetes-native orchestration
  • Full infrastructure ownership and control
  • Container-based microservices architecture
  • Hybrid and on-premise capable
  • BSL 1.1 — bring your own environment

Complete FHIR R4, EDI, and compliance capabilities on any Kubernetes cluster.

The Team

Built by people who’ve shipped
50+ payer implementations.

Cloud Health Office was created by a team with 25+ years of combined experience building and implementing core administration platforms at Medicaid MCOs, Medicare Advantage plans, and commercial payers. We built this because we’ve watched health plans spend $2M+ and wait 18 months for integrations that should take weeks.

Core Admin Systems

Deep expertise in health plan core administration platform implementations across all major platforms.

Clearinghouse EDI

Production integrations with every major clearinghouse in the healthcare market.

Regulatory Compliance

HIPAA, CMS-0057-F, ACA, and state-level regulatory implementations at enterprise scale.

Enterprise Cloud

Azure-native, Kubernetes-first architecture designed for production health plan operations.

Now accepting pilot deployments for select health plans in 2026.

Currently Accepting Pilot Deployments — 2026

Meet CMS-0057-F on your
existing core admin system.

For Medicaid MCOs, Medicare Advantage, and commercial payers running QNXT, Facets, HealthEdge, or legacy platforms.
Compliance in weeks. Modernization on your timeline. Full replacement only if you choose it.

Questions? Email sales@cloudhealthoffice.com