One Record, Six Views
A change in Enrollment is visible in CAPS and Member the same moment, not the next processing cycle.
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.
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.
A change in Enrollment is visible in CAPS and Member the same moment, not the next processing cycle.
Native support for EDI 837, 835, 270, 271, and HL7 FHIR R4 keeps HealthOS talking to what you already run.
Adopt one workspace or all six. Every module plugs into the others whenever you’re ready.
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.
Built on microservices for zero-downtime scaling across all six HealthOS workspaces.
Enterprise-grade encryption and SOC 2 Type II compliance as the security baseline for the entire platform.
The same intelligence engine runs underneath all six workspaces from one shared knowledge graph.
Pick a workspace to see what it actually handles.
The administrative backbone for modern health plans. Claims, eligibility, authorizations, benefits, and care coordination in one workspace.
What happens behind a single member interaction when every workspace shares the same record.
A new member completes AI-guided enrollment. Identity and eligibility are verified in one flow.
The moment coverage is active, CAPS already has it. Claims can be adjudicated from day one.
AI PASS reviews every claim pre-payment, before a dollar goes out the door.
Risk adjustment and Star Ratings measures update automatically from the same data.
The member sees the same claim and benefit in their own workspace, the same day.
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.
Learn more about AI PASSBring your line of business and your hardest workflow — we'll show you how it runs on one intelligent platform.
Insights on healthcare security and third-party risk, AI in claims processing, and regulatory compliance for healthcare organizations.
BlogsUnderstand healthcare fraud, waste, and abuse, its financial and operational impact, real-world cases, and how AI is changing FWA prevention.
NewsHealthAxis’ SVP of Product Management, Norah Brennan, Authored Article Featured in The AI Journal
InfographicsLearn how STP works and how AI-powered claims platforms automate processing while intelligently managing exceptions.