OnyxOS

FROM DATA EXCHANGE TO DATA INTELLIGENCE

A modular operating system, built for healthcare

FHIR-native foundation that turns connected data into operational intelligence.

Get Data
Make Data Usable
Use Data
OnyxOS
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Decorative Image
50+
Payer Organizations
25+
State Medicaid Programs within our payer network
55M+
Lives Supported
#1
Black Book Customer Satisfaction
HIPAA CompliantHITRUST CertifiedSOC 2 Type IIFHIR NativeCloud Agnostic

From raw data to payer intelligence — in one stack.

Three layers, built to work together. Data is acquired once at the foundation, made usable in the middle, and turned into outcomes at the top — across regulatory compliance, quality and Stars performance, risk adjustment accuracy, care management, and payment integrity.

Backed by Onyx Expert Services:

Consult · Design · Implement · Test · Support

Get Data

Layer 01

Onyx DataBridge

Model-driven data fabric: Onyx DataBridge

The foundation of OnyxOS. Ingest clinical, claims, and HIE data from any source, normalize it into a FHIR-native model, and build a unified longitudinal health record for every member — once, for every application that needs it.

Make Data Usable

Layer 02

Payer Data Infrastructure

Structured data. Operational intelligence.

Three specialized data layers sit above Onyx DataBridge — each transforming unified data into operational intelligence for a distinct payer domain.

CLAIMS
Onyx Compliance
Regulatory + Claims Data Fabric · CMS-0057
  • Patient Access API
  • Provider Access API
  • Payer-to-Payer Exchange
  • Electronic Prior Authorization (CRD
  • DTR
  • PAS)
  • Real-time compliance monitoring
  • Risk scoring & anomaly detection
01
Clinical
Onyx Integrated Data Repository
Clinical Interoperability & Longitudinal Patient Record
  • EHR integration (FHIR R4
  • HL7v2)
  • Clinical document exchange (C-CDA)
  • Provider directory & credentialing
  • Care gap identification & closure
  • eCQM computation
  • Patient longitudinal health record
02
Quality
Onyx Intelligence
Operational + Financial Optimization
  • HEDIS / Stars automation
  • Supplemental data aggregation
  • Member stratification & outreach
  • Risk Adjustment (HCC suspecting
  • RAF optimization)
  • Intelligent ePrior Authorization
  • Payment Integrity (AI-driven detection)
03

Use Data

Layer 03

Payer Intelligence Applications

Where intelligence drives action

Purpose-built solutions for the workflows that matter most — each powered by the OnyxOS data layers beneath them, deployed in weeks, not months.

CMS Compliance
OnyxCompliance

Embeds regulatory interoperability directly into payer operations. Future-proof compliance, reduced audit prep, faster implementation timelines.

Digital Quality
OnyxDQ

Automate HEDIS measurement and digital quality reporting. Replace manual chart reviews with AI-enabled, standards-based eCQM computation at scale.

Risk Adjustment
OnyxRA

Identify HCC opportunities, optimize RAF scores, and surface risk gaps with AI-powered suspecting across your full member population.

Care Gap Closure
OnyxCareGaps

Automated chart abstraction and care gap closure workflows. Coordinate outreach across care teams with longitudinal member data in the platform.

Payment Integrity
OnyxPI

Embeds regulatory interoperability directly into payer operations. Future-proof compliance, reduced audit prep, faster implementation timelines.

Built different. Built from the standards up, not around them.

Acquire once. Reuse everywhere

Data ingested through OnyxDataBridge flows to every application above it. No duplicate integration work. No data silos. Every product shares the same longitudinal record.

Jointly built with Microsoft.

OnyxOS is jointly developed with Microsoft on Azure — bringing enterprise-grade security, scalability, and cloud infrastructure to every payer deployment from day one.

Led by the people who wrote the standards.

The Onyx team includes architects of CMS Blue Button 2.0, the HL7 Da Vinci PDex standard, and 20+ FHIR & C-CDA specs — the people who define what compliance means.

Standards-first, not bolted on.

Built natively on FHIR R4, HL7v2, X12, C-CDA, and USCDI. Standards compliance is the architecture, not an add-on layer — which means your mandates are handled by design.

AI-enabled automation built in.

From HCC suspecting to payment anomaly detection, AI is embedded at the workflow layer — not a separate product to buy, integrate, and maintain.

Production-ready in weeks.

Backed by a partner ecosystem of 20+ implementation specialists, OnyxOS goes live faster than any comparable platform — with lower risk and lower TCO.

Ready to see OnyxOS in action?

Schedule a platform walkthrough with our team tailored to your mandate timeline and use case priorities.