Open-Source Healthcare Payer Infrastructure

Break free from vendor lock-in

Aurelianware builds the vendor-neutral compliance and operations layer that deploys alongside your existing core admin system — QNXT, Facets, HealthEdge, or any other CAPS.

View on GitHub ↗ Explore Products
100K+
Repository Clones
23
Microservices
1,295
Automated Tests
192K+
Lines of Code

The Problem

Legacy vendor lock-in is choking
healthcare innovation

A single vendor bought control of the et and independent implementation partners were displaced overnight. Health plans found themselves captive to a this vendor's roadmap, pricing, and compliance timeline.

CMS-0057-F Mandate

The CMS Interoperability and Prior Authorization final rule requires health plans to implement FHIR-based prior auth APIs. Existing CAPS vendors are slow to deliver compliant modules — and charge a premium when they do.

Vendor-Locked Compliance

Adding interoperability shouldn't mean replacing your entire claims adjudication system. Yet that's exactly what most vendors demand — a multi-year, multi-million dollar rip-and-replace.

Displaced Partners

Hundreds of experienced TriZetto implementation consultants lost access to the platform they built their careers on. Their expertise has no home in the Cognizant-controlled ecosystem.

Innovation Stagnation

Closed-source payer systems move at the vendor's pace, not yours. Feature requests take years. Bug fixes take months. And you pay for every change order.

Product Suite

Infrastructure that works with your stack

Every Aurelianware product is designed to sit alongside — not replace — your existing systems. Licensed under BSL 1.1 for transparent, predictable access.

CHO

Cloud Health Office Flagship

The only vendor-neutral CMS-0057-F compliance layer deployable alongside any core administrative processing system. Prior authorization, appeals, member portals, provider directories, and more — all FHIR R4 native.

FHIR R4 X12 278 Da Vinci AKS MongoDB
PAI

PrivaseeAI

Privacy-first security monitoring and AI inference platform. On-device processing with ONNX Runtime — your data never leaves your infrastructure.

ONNX On-Device AI Privacy
CDO

CloudDentalOffice

Microservices-based dental practice management platform with 837D claim pipeline, OCR integration, and a strangler fig migration path from legacy monoliths.

837D Microservices OCR
TSN

TeslaSentinel

Privacy-first vehicle surveillance integrating Raspberry Pi 5 with Tesla hardware and PrivaseeAI for on-device AI inference. Zero cloud dependency for video processing.

.NET 8 ARM64 Raspberry Pi

Architecture

Pluggable. Vendor-neutral. Production-ready.

The ICoreAdminAdapter pattern lets Cloud Health Office integrate with any CAPS without rewriting your adjudication logic.

Presentation
Member Portal Provider Portal Operations Dashboard
CHO Layer
Prior Auth API Appeals Enrollment Accumulators Fee Schedules Work Queues
Integration
FHIR R4 X12 EDI Da Vinci IG ICoreAdminAdapter
Your CAPS
QNXT Facets HealthEdge Any Other

Pricing

Transparent, tiered PMPM

No opaque licensing. No surprise change orders. Predictable per-member, per-month pricing that scales with your plan.

Starter
$999
per month
  • Core compliance modules
  • FHIR R4 prior auth API
  • Community support
  • Single-tenant deployment
Get Started
Enterprise
$7,999
per month
  • All Professional features
  • Full RBAC (9 operational roles)
  • Custom CAPS adapter development
  • Dedicated implementation team
Contact Us

Get Started

Ready to take control of your compliance roadmap?

Whether you're a health plan looking for CMS-0057-F compliance or an implementation partner seeking a new platform — let's talk.

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