POWERING PAYER PERFORMANCE

OnyxOS

Intelligence Platform for Payers

FROM COMPLIANCE
INTEROPERABILITY
REVENUE GENERATION

Unified platform connecting interoperability, clinical data & intelligence to power modern payer operations

ONYX IN ACTION

See OnyxOS in action

See how OnyxOS transforms healthcare data into operational intelligence for health plans.

OnyxOS Demo Video
-->

Clinical Data Foundation

Configure Once, Reuse Everywhere

Operational Visibility

PLATFORM EVOLUTION

Built for the Future of Payer
Intelligence

Our recent integration of InteropX expands the model-driven data fabric at the core of OnyxOS — strengthening clinical interoperability, enriching the longitudinal health “Golden” Record, and deepening the intelligence available across compliance, quality, risk, and payment workflows.

OnyxOS is designed as a unified intelligence platform where interoperability infrastructure and clinical data form the foundation for modular performance and revenue intelligence.

This is enterprise-scale payer intelligence.

The Operational Intelligence Layer of OnyxOS

Powered by the Model-Driven Data Fabric, these intelligence modules operationalize compliance, risk, quality, and payment workflows at scale — transforming interoperability into measurable performance and revenue impact.

OnyxCompliance icon
OnyxCompliance
  • Patient Access API
  • Provider Access API
  • Payer-to-Payer
  • ePA (CRD/DTR/PAS)
OnyxDQM icon
OnyxDQM
  • HEDIS Computation
  • Care Gap Closure
  • Acuity Scoring
  • Stars Optimization
OnyxRA icon
OnyxRA
  • HCC Suspecting
  • RAF Scoring
  • RADV Intelligence
  • Audit Readiness
OnyxCareGaps icon
OnyxCareGaps
  • EMR Chart Retrieval
  • HIE Connect
  • PBM/Rx Connect
  • Chart Intelligence
OnyxPaymentIntegrity icon
OnyxPayment Integrity (Partner integrated)
  • Pre-Pay Validation
  • Post-Pay Recovery
  • FWA Detection
  • Contract Adherence
CORE PLATFORM

Foundational Modules: Payer Intelligence Data Infrastructure

Embedded regulatory, clinical, and operational infrastructure powering Revenue & Performance Intelligence

OnyxCompliance

Regulatory + Claims Intelligence Fabric

  • Claims ingestion
  • FHIR APIs
  • Real-time compliance monitoring

OnyxCarePath

Clinical Interoperability & Longitudinal Patient Record

  • EHR/FHIR integration
  • C-CDA exchange
  • Care gap identification

OnyxQuality

Operational + Financial Optimization

  • HEDIS / Stars automation
  • Risk adjustment
  • Intelligent ePA

Acquire Once → Reuse Everywhere

At the core of OnyxOS is a model-driven data fabric that unifies claims, clinical, and supplemental data into a longitudinal, linkable health record — powering compliance, risk, quality, and payment intelligence.

Core Data Fabric Capabilities

  • Multi-source ingestion (EMR, HIE, claims)
  • Structured & unstructured normalization
  • Longitudinal linking with provenance
  • Canonical payer data model
  • Data quality scoring & validation
  • API-ready exports (FHIR, HL7, X12)

How Intelligence Is Powered

Claims
Clinical Data
→ Longitudinal Health “Golden” Record
That unified record powers:
CMS Compliance
Risk Adjustment
Digital HEDIS
Payment Integrity
WHY ONYX: FROM INTEROPERABILITY LEADERSHIP TO PAYER INTELLIGENCE

Acquire Once. Reuse Everywhere.

A longitudinal clinical data foundation that powers payer intelligence.

Interoperability Leadership

Built the CMS Blue Button 2.0
Authors of HL7 FHIR interoperability standards

  • Leaders in HL7, Da Vinci, and payer interoperability
  • Supporting CMS-0057 interoperability at scale

Clinical Data Foundation

Unified clinical and claims data
FHIR-native architecture built for scale

  • Longitudinal patient record (“golden record”)
  • Normalized, interoperable data model

Payer Intelligence Platform

Risk, quality, care, and payment intelligence
Scales as new models and workflows are added

  • AI-enabled payer workflows
  • Insights embedded in operational systems
HIMSS 2026

Book a Meeting