Meet the CMS-0057-F FHIR Mandate Without Replacing Your Core System
Deploy a compliance layer alongside QNXT, Facets, or HealthEdge in weeks. Then modernize domain by domain, on your timeline.
PMPM, pilot-scoped • Weeks to deploy, not months • Source-available core
Keep the core. Add capabilities by domain.
Start with the compliance surface, connect claims workflows next, then expand into financial and provider operations without forcing a single cutover event.
Founding Client Program: Be the First Deployment
Where we honestly are: we are pre-pilot. No health plan is running Cloud Health Office as their system of record yet, and we would rather say that plainly than dress up a demo as a customer story.
What the first client gets: zero licensing cost, direct access to the engineers building the platform, and deployment terms shaped around your CMS-0057-F timeline — in exchange for being our first reference deployment.
What You Get
Four outcomes, all running alongside your existing core — no replatforming required.
FHIR R4 Compliance Layer
Meets the CMS-0057-F Patient Access API requirement, reading directly from your existing core data. No data migration.
Prior Authorization Automation
Replaces manual and fax-based review with automated request/response workflows and real-time status — typically under two minutes for eligible requests.
Multi-Clearinghouse EDI
One connection to Change Healthcare, Availity, Waystar, and RelayHealth, covering the full set of payer EDI transactions. New clearinghouses added in about a day.
Progressive Modernization Path
Replace one domain of your legacy core at a time, on your schedule. Your core stays the system of record until you choose to cut over a domain — low-risk, no big-bang migration. Provider enrollment verification is included, gating claims before they're paid.
Why Believe Us
- Proven at scale: validated adjudication at 1,000,000-claim scale in our Million Claim Challenge.
- A real domain shipped: Appeals is built end-to-end as our reference domain, proving the augment-alongside-then-cut-over pattern works.
- Source-available: inspect every line, no black-box vendor lock-in.
Compliance is the entry point, not the ceiling. A full core administrative platform — claims, accounts receivable, premium billing, capitation, and provider payment — runs underneath. See the full platform →
See it on your own core system
Schedule a 30-minute technical deep-dive, tailored to QNXT, Facets, or HealthEdge.
Schedule a Deep-Dive →Or explore the source-available codebase on GitHub →