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Version History

Cloud Health Office Release Notes

Source-available payer platform history. Security-scanned release process.
36 Microservices. 9 Adjudication Engines.
CMS-0057-F Readiness — Evidence Before the Deadline

V4 At A Glance

36
Microservices
9
Adjudication Engines
CI
Automated Validation
Scan
Dependency Checks
Scan
Current Security Posture
5
FHIR R4 APIs

V4 — SaaS Architecture Foundation

V4 delivered multi-tenant isolation, security hardening, cloud portability, and a developer-first API experience. Current security posture should always be evaluated from the latest dependency and secret scans.

NEW IN V4

Multi-Tenant SaaS Isolation

Tenant isolation patterns for payer evaluation and customer-owned deployments.

  • TenantContextService maps Azure AD tenant to CHO tenant
  • X-Tenant-ID header injection on all API calls
  • Cross-tenant data leakage prevention
  • Dynamic tenant name display with demo/production badges
NEW IN V4

Security Hardening

Dependency, secret, and configuration hardening across the release process.

  • 59 package updates across all services
  • CVE-2024-43485 (System.Formats.Asn1 RCE) fixed
  • CVE-2024-21907 (Newtonsoft.Json) fixed
  • Global transitive dependency enforcement
NEW IN V4

Cloud Portability

Cloud-agnostic infrastructure with dual-provider support.

  • IDocumentStore<T> abstraction layer
  • Azure Cosmos DB (production)
  • MongoDB / DigitalOcean (65% cost savings)
  • 3-click GitHub Actions deployment toggle
NEW IN V4

OpenAPI 3.1 Specifications

Full API documentation with interactive Swagger UI for all FHIR endpoints.

  • Patient Access API spec (CARIN Blue Button)
  • Provider Access API spec (Da Vinci PDex)
  • Claims Scrubbing API spec with ROI metrics
  • Interactive Swagger UI viewers
NEW IN V4

Developer Quickstarts

From zero to first API call in under 30 minutes.

  • CMS-0057-F Compliance quickstart (15 min)
  • Patient Access API quickstart (30 min)
  • Claims Scrubbing API quickstart (20 min)
  • Code examples in JavaScript, Python, C#
NEW IN V4

SFTP Trading Partner Integration

Direct SFTP connectivity for EDI file exchange with trading partners.

  • Multi-tenant SFTP endpoint provisioning
  • 837/835/277 transaction folder structure
  • Azure Key Vault credential storage
  • Dental claims EDI support

Platform Overview

The full Cloud Health Office platform as of V4.

Component Count Details
Microservices 36 C# / .NET 8, multi-tenant, Cosmos + MongoDB dual-repo
Calculation Engines 9 Benefit, Fee Schedule, NCCI, COB, Risk Adjustment, Encounter, Claims Scrub, Capitation, Operating Mode
X12 Parsers 5 275, 276, 277, 278 (Python), 834 (Node.js)
FHIR R4 APIs 5 Patient Access, Provider Access, Payer-to-Payer, Prior Auth, Provider Directory
Argo Workflows 17 Claims adjudication, EDI ingest, enrollment import, RFAI
Portal Pages 60 Blazor Server + MudBlazor, Microsoft Entra ID (multi-tenant)
CI/CD Workflows 20 GitHub Actions — build, test, deploy, security scan
Claims Scrubbing Rules 20+ Data completeness, ICD-10/CPT format, NPI Luhn, POS, filing limits

Pricing

Cloud Health Office V4 is priced per member per month (PMPM) across Platform Engagement — payer-scale relationships organized into three layers: Layer 1 — Compliance Accelerator (CMS-0057-F surface alongside legacy core), Layer 2 — Progressive Modernization (domain-by-domain Augment or Replace), and Layer 3 — Full CAPS Platform (cloud-native end-to-end). Pilot-scoped terms; founding-partner relationships negotiated per engagement.

Public Tools, Transactional Services, and Managed Data Services are available alongside Platform Engagement for developers, integrators, and small plans with specific data needs.

See full pricing across all four product lines →

CMS-0057-F Readiness Status

Cloud Health Office provides implemented CMS-0057-F readiness surfaces with FHIR R4, US Core, and Da Vinci Implementation Guide coverage that still require payer-specific validation before production use.

Requirement Implementation Deadline Status
Patient Access API FHIR R4 — Claim, EOB, Coverage, Patient, Encounter January 1, 2027 ✓ Implemented
Provider Access API FHIR R4 — Claim, EOB, Patient, Condition, Observation January 1, 2027 ✓ Implemented
Prior Authorization API FHIR R4 + CDS Hooks — real-time PA decisions January 1, 2027 ✓ Implemented
Payer-to-Payer API FHIR R4 — bidirectional member data exchange January 1, 2027 ✓ Implemented
Provider Directory API FHIR R4 — Practitioner, Organization, Location, Network January 1, 2027 ✓ Implemented
USCDI v1/v2 US Core profiles, Da Vinci IGs (PDex, PAS, CRD, DTR, HRex) January 1, 2027 ✓ Implemented

Full readiness documentation: CMS-0057-F Readiness Guide →

V3 Features (Included)

V4 includes all V3 features: multi-cloud deployment, Argo Workflows orchestration, and Kubernetes-native infrastructure.

V3

Multi-Cloud Deployment

Deploy on Azure AKS, AWS EKS, or GCP GKE with unified Helm charts, Argo Workflows, and HashiCorp Vault.

V3

Argo Workflows

17 Kubernetes-native workflow DAGs for claims adjudication, EDI ingest, enrollment import, and RFAI.

V3

ClaimRiskScorer

ML-powered fraud/abuse detection with PyTorch risk scoring (0-100) and custom ZZZ segment in 277.

V3

Migration Wizard

Blazor web app for legacy system migration with 95%+ auto-match mapping and one-click API cutover.

V2 Features (Included)

V4 includes the V2 FHIR surfaces as part of the CMS-0057-F readiness path, with payer-specific validation still required before production use.

V2

Patient Access API

FHIR R4 API enabling patients to access claims, encounters, and clinical data within 1 business day of adjudication.

V2

Provider Access API

Real-time patient data access for providers with proper authorization and consent management.

V2

Prior Authorization API

Automated prior auth with 72-hour urgent and 7-day standard response tracking via FHIR R4 + CDS Hooks.

V2

Payer-to-Payer API

Bulk FHIR export for bidirectional member data exchange during enrollment transitions.

Quick Start

Get Cloud Health Office running in your environment.

# Clone and run
git clone https://github.com/aurelianware/cloudhealthoffice.git
cd cloudhealthoffice
docker compose --profile core up -d

# Verify
curl http://localhost:5001/health/live

# Or deploy with Helm (Azure/AWS/GCP)
helm install cloudhealthoffice ./infrastructure/helm/cloudhealthoffice

# Run the test suite
npm install && npm test

Deploy instantly to Azure:

Deploy to Azure →

Docker Compose for local evaluation (first run builds images, typically 10–20 minutes; instant on repeat runs). Kubernetes deployment requires customer-specific cloud, identity, security, and data validation.

Documentation

Quickstart

Run the platform locally with Docker Compose, or deploy to Kubernetes/Azure.

Read Guide →

Architecture

System design, service interactions, and the 10-step claims adjudication pipeline.

Read Guide →

CMS-0057-F Compliance

Regulatory readiness mapping with FHIR R4 implementation details.

Read Guide →

Deployment Guide

Deployment reference for Azure and Kubernetes with environment-specific validation.

Read Guide →

Evidence-Backed Payer Platform

36 microservices. 9 adjudication engines. 5 FHIR R4 APIs.
CMS-0057-F readiness surface. Security-scanned. Deployable to customer-owned cloud infrastructure after payer validation.

View on GitHub Platform Overview