Meet the 2027 FHIR deadline without
replacing QNXT, Facets, or HealthEdge.
Cloud Health Office deploys beside your core admin system. It serves the CMS-0057-F APIs now, then takes over claims domains when you are ready. It is a payer platform — not VMware CloudHealth or Salesforce Health Cloud.
Or run it locally / view source on GitHub · inspect the public evidence
Foothold — mandate beside the core
Buy CMS-0057-F FHIR APIs in your cloud this year while QNXT, Facets, or HealthEdge stays the system of record.
Your cloud, your data, inspectable source
Deploy in your own Azure, AWS, or GCP. PHI stays inside your boundary. Source-available under BSL 1.1, so your security team can read the code.
1,000,000-claim adjudication evidence, published with limits
We validated adjudication at one million deterministic synthetic claims — and publish the honest limits alongside the numbers.
Then expand by domain, then core only if you choose. See the three-step ladder →
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
(19,982 payment-comparable claims)
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 — Foothold — and expand only when they’re ready. Same platform, same team, no new vendor.
Layer 1 — Foothold
What can we buy this year against the 1 Jan 2027 CMS-0057-F clock while QNXT, Facets, or HealthEdge stays the system of record? FHIR APIs in your cloud; the core stays authoritative. Most payers start here.
Layer 2 — Domain cutover
Which one operational domain do we peel off the core without a rip-and-replace program? Prior auth, provider, eligibility, or claims intake. The core remains system of record for everything not cut over. Reversible.
Layer 3 — Core
When, if ever, is Cloud Health Office the claims ledger? Only when you choose. Not a big-bang HealthEdge-style program, and not a claim that a live QNXT book has already moved.
Built for payer operations teams.
Medicare Advantage, Medicaid, and CHIP plans facing Jan 1, 2027 · CIOs who will not sign a core replacement this budget cycle · architects who want source and customer-owned cloud.
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.
Clearinghouse EDI + Prior Auth
Outbound clearinghouse connectivity implemented against Stedi, with prior authorization workflows that replace manual and fax-based review. Availity and Change Healthcare adapters are scaffolds; additional clearinghouses are built per engagement.
Domain cutover
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.
Start where the risk is lowest.
Evaluate the source and the evidence for free. When you are ready, we discuss a production Layer 1 deploy in your own cloud — and the terms for an early production tenant.
1 · Evaluate
Run it locally, read the source, and inspect the Million Claim Challenge evidence. No form required.
2 · Scope
We map CHO to your core (QNXT, Facets, HealthEdge) and scope a CMS-0057-F Layer 1 deployment in your cloud.
3 · Deploy
Deploy in your Azure, AWS, or GCP subscription — PHI never leaves your walls. First production deployment terms are on the deploy page.
Software, deployment flexibility, and payer expertise
Cloud Health Office helps health plans connect CMS-0057-F requirements to existing payer operations through flexible software, practical deployment options, and professional services.
Software
The CMS-0057-F platform: FHIR R4 and Da Vinci workflows, core administration adapters, progressive modernization, and published evidence. Source-available so your architects can read it first.
Explore the platform →Deployment
Deploy it in your own cloud — available today. Have Aurelianware manage it in an environment you control, or split operations under a shared-responsibility model, by engagement. A hosted service is under evaluation.
Compare operating models →Services
Implementation, architecture, vendor and SOW review, and fractional payer architecture leadership — from the people who build the platform.
Explore Professional Services →Need expertise before you need software?
Cloud Health Office Professional Services helps payer teams assess CMS-0057-F readiness, evaluate core administration options, review vendor proposals, plan deployment, and lead complex interoperability initiatives — whether or not Cloud Health Office ends up in the answer.
Independent advice. Practical implementation. Software when it fits.
From first call to pilot
From first call to a scoped pilot in under 8 weeks — in your own cloud subscription.
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.
Evaluate on your own, or talk about a deployment.
Engineers can clone and run it today. Teams scoping CMS-0057-F can get the evaluator pack or book 30 minutes — we reply within one business day.
Prefer the source? Run it locally / view source on GitHub →
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.