The HealthOS Platform

One Sign-In.
Six Connected Workspaces.
One System of Record

HealthOS unifies claims, plan operations, provider management, member experience, enrollment, and payment integrity on a single data core. Every workspace reads and writes to the same live record, powered by AI PASS underneath all six.

Explore the workspaces
HITRUSTSOC 2 Type IICMSHL7 FHIR
Platform Overview

What Is HealthOS?

HealthOS is HealthAxis's enterprise healthcare operating system: six purpose-built workspaces — CAPS, Plan, Provider, Member, Enrollment, and Sentinel — running on one shared data core with AI PASS embedded throughout. Sign in once and every workspace your role requires is right there, all reading and writing to the same live record.

One Record, Six Views

A change in Enrollment is visible in CAPS and Member the same moment, not the next processing cycle.

Standards-Based

Native support for EDI 837, 835, 270, 271, and HL7 FHIR R4 keeps HealthOS talking to what you already run.

Modular, Not All-or-Nothing

Adopt one workspace or all six. Every module plugs into the others whenever you’re ready.

Platform Foundation

Six Decades of Payer Infrastructure, Rebuilt as an AI-Native Platform.

HealthOS CAPS carries forward AxisCore, HealthAxis's foundational core administration engine, and the same security posture now runs as the baseline for all six workspaces — with AI PASS wired in from the start rather than bolted on.

Carried Forward

Cloud-Native Architecture

Built on microservices for zero-downtime scaling across all six HealthOS workspaces.

Carried Forward

Immutable Security

Enterprise-grade encryption and SOC 2 Type II compliance as the security baseline for the entire platform.

New in HealthOS

AI PASS Embedded Intelligence

The same intelligence engine runs underneath all six workspaces from one shared knowledge graph.

Inside HealthOS

Six Workspaces. Every One Built for a Different Job.

Pick a workspace to see what it actually handles.

HealthOS CAPS

The administrative backbone for modern health plans. Claims, eligibility, authorizations, benefits, and care coordination in one workspace.

Claims AdjudicationEligibilityPrior AuthorizationCare Coordination
HealthOS · CAPSLive
Claims MTD8,447
Clean Rate93.6%
In Review412
CLM-4421Auto-adjudicated
Paid
CLM-4419Coordination of benefits
Review
CLM-9920Duplicate billing detected
Hold
Explore HealthOS CAPS
How Work Moves

One Claim's Path Across the Platform.

What happens behind a single member interaction when every workspace shares the same record.

1Enrollment

A new member completes AI-guided enrollment. Identity and eligibility are verified in one flow.

2CAPS

The moment coverage is active, CAPS already has it. Claims can be adjudicated from day one.

3Sentinel

AI PASS reviews every claim pre-payment, before a dollar goes out the door.

4Plan

Risk adjustment and Star Ratings measures update automatically from the same data.

5Member

The member sees the same claim and benefit in their own workspace, the same day.

The Intelligence Layer

AI PASS Runs Underneath All Six Workspaces, Not Next to Them.

The same engine that adjudicates a claim in CAPS also flags a duplicate payment in Sentinel and closes a care gap in Plan — working from one consistent view of the member.

ObservesUnderstandsPredictsRecommends
Learn more about AI PASS
Why HealthOS?

The Numbers Behind the Platform.

96%+First-pass accuracy
30+AI agents
1Data core, every workspace
250+Automated workflows
20–40%Lower cost
2–3xProductivity gain
Why HealthOS

What Changes When Six Systems Become One.

Six Point Solutions
  • Claims, enrollment, and provider data live in separate systems that don’t agree with each other.
  • Every new workflow means a new vendor, a new login, a new implementation project.
  • AI gets bolted onto one system at a time, if it’s added at all.
  • Compliance and audit trails have to be reconstructed across five different tools.
One HealthOS
  • Every workspace reads and writes to the same live record. One version of the truth.
  • Adding a workspace is a configuration, not a new implementation project.
  • AI PASS is embedded across all six workspaces from one shared knowledge graph.
  • Every automated and manual action logs itself, in one audit trail.
Security & Compliance

Built to the Standards Your Compliance Team Already Holds You To.

HITRUSTSOC 2 Type IINCQAHL7 FHIR R4CMS Interoperability RuleEDI 837 · 835 · 270 · 271
FAQ

Frequently Asked Questions.

Do we have to adopt all six HealthOS workspaces at once?
No. Every workspace stands on its own. Most organizations start with the workspace tied to their most pressing need, then add others as priorities allow, without rework later.
How does HealthOS connect to systems we already run?
HealthOS supports standard EDI transactions (837, 835, 270, 271) and HL7 FHIR R4, integrating with clearinghouses, provider systems, and existing data warehouses.
Is HealthOS CAPS a replacement for AxisCore?
HealthOS CAPS is the evolution of AxisCore. The core administrative logic your team trusts carries forward, delivered through a modern AI-native workspace. See how CAPS evolved from AxisCore.
What does AI PASS actually do underneath the workspaces?
AI PASS is the operational intelligence engine embedded across HealthOS. It observes, understands, predicts, and recommends — scoped to what each workspace needs. Learn more about AI PASS.
Get Started

See HealthOS in the context of your healthcare operations.

Bring your line of business and your hardest workflow — we'll show you how it runs on one intelligent platform.

Go to Library

Stay Informed.
Stay Ahead.

Insights on healthcare security and third-party risk, AI in claims processing, and regulatory compliance for healthcare organizations.