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HealthOS

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HealthOS is an enterprise healthcare operating system from HealthAxis that connects data, operations, intelligence and experiences across the health plan. It brings six connected workspaces together on one shared data model: HealthOS CAPS: claims, eligibility, authorizations and core administration. HealthOS Plan: Medicare and government program operations. HealthOS Provider: provider onboarding, credentialing and network operations. HealthOS Member: member self-service and engagement. HealthOS Enrollment: AI-guided enrollment and eligibility. HealthOS Sentinel: fraud, waste and abuse detection and claim review. The Aipass™ intelligence layer is embedded across all workspaces, with 30+ AI agents and 250+ automated workflows. The platform supports FHIR R4/R5, HL7 and X12 EDI natively and offers five deployment models: SaaS, private cloud, your own cloud, hybrid and on-premise. It serves health plans, TPAs, provider organizations, employers, PBMs and government programs.

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