Engineering series

Stedi Interoperability Field Notes

How Cloud Health Office turned a clearinghouse into a replaceable adapter and kept the healthcare business — eligibility through remittance, then a unified claim intelligence API — in the platform.

Current verified scope: vendor-neutral gateway with Stedi JSON adapters for 270/271, 837, 277CA, 275, 276/277, and 835, plus a tenant-safe intelligence read model. Not a live ERA enrollment certificate. Not payment posting. Scale evidence is the Million Claim Challenge.
Cyan monolith at the center of two fiber spines carrying sealed capsules
Field note

The Clearinghouse Is Not the Payer Platform

Why Stedi is the network and Cloud Health Office is the claims operating system a health plan actually runs — and how nine sequential PRs made that distinction real in code.

Read article Gateway architecture
Million Claim Challenge series All insights