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Cloud Health Office Platform

Streamlined Payer EDI Integration

What Just Changed Forever

Cloud Health Office is the first open-source, Azure-native, HIPAA-engineered platform that deploys a complete production payer EDI tenant in under one hour (based on internal testing)—with zero custom code.

<1hr
Deployment Time
(vs. 6-18 months)
$0
Professional Services
(vs. $500k-$2M)
82%
5-Year TCO Reduction
Multi-Payer Tenants
(Complete Isolation)

Core Capabilities

Production-ready EDI processing for all major transaction types. No custom code. No vendor lock-in.

Real-Time Prior Authorization

  • 278 Health Care Services Review
  • Sub-2-minute processing (<12 days)
  • Automated claims adjudication systems correlation
  • Complete audit trail
  • Zero manual intervention

Claims Processing

  • 837P/I/D (Professional, Institutional, Dental)
  • Automated X12 validation
  • Real-time status updates
  • Deterministic replay endpoint
  • PHI-redacted Application Insights

Eligibility Verification

  • 270/271 real-time eligibility
  • leading clearinghouses
  • Sub-second response times
  • Backend system correlation
  • 99.9% uptime SLA

Enhanced Claim Status (ECS)

  • X215 Authorization Inquiry
  • X217 Authorization Request
  • Real-time status tracking
  • Historical lookup capabilities
  • NCPDP and HIPAA format support

Appeals Integration

  • 277 RFAI automated generation
  • 275 Attachment processing
  • Deadline tracking and notifications
  • Complete audit trail
  • Regulatory compliance built-in

Security That Passes Audits

  • Private endpoints everywhere
  • HSM-backed Key Vault Premium
  • DCR-based PHI redaction
  • Immutable audit logs (7-year retention)
  • Managed identities only

Complete Platform Assessment

Detailed technical analysis, competitive positioning, deployment roadmap, and ROI calculations.

82% cost reduction. Sub-1-hour deployment (based on internal testing). Zero custom code.

Read Full Assessment → Schedule Demo

Architecture Overview

Azure-native infrastructure leveraging Logic Apps Standard, Service Bus, Data Lake Gen2, and Integration Account for complete X12 transaction processing.

Deployment Components

  • Logic Apps Standard: Workflow orchestration for all EDI transaction types
  • Service Bus: Event-driven architecture with topics for pub/sub patterns
  • Data Lake Gen2: Hierarchical namespace for organized PHI storage
  • Integration Account: X12 schema validation and trading partner agreements
  • Key Vault Premium: HSM-backed key management with soft-delete + purge protection
  • Application Insights: Telemetry with DCR-based PHI redaction
  • Private Endpoints: No public IP addresses exposed

Multi-Tenant Architecture

Each payer tenant receives complete logical isolation while sharing infrastructure efficiency:

  • Dedicated Logic App workflows per payer
  • Isolated Service Bus topics and subscriptions
  • Separate Data Lake containers with hierarchical paths
  • Individual Integration Account agreements
  • Zero shared secrets or configuration

One-Click to Production

Configuration-driven deployment via CLI wizard. No programming expertise required.

# Step 1: Run onboarding wizard (5 minutes)
node dist/scripts/cli/payer-onboarding-wizard.js

# Step 2: Generate infrastructure and workflows (10 minutes)
node dist/scripts/cli/payer-generator-cli.js generate -c payer-config.json

# Step 3: Deploy to Azure (25 minutes)
cd generated/your-payer/infrastructure && ./deploy.sh

# Step 4: Configure trading partners (10 minutes)
./configure-hipaa-trading-partners.ps1

# Total: ~50 minutes from zero to production

Ready to Transform Your Payer Operations?

The sequence is immutable. Legacy EDI integration is now optional.

View Complete Assessment Clone Repository