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01 / The Platform

ASP-RCM Platform Architecture. Built to be stable. Built to be inspected.

We don’t run a single monolith with a database under a desk. The ASP-RCM platform is a set of independently-deployed services on AWS, with event queues between them, full audit logs on every call, and the kind of plumbing your CIO actually wants to inspect.

At a glance
AWS-native
us-east-1 + us-west-2
Multi-AZ. Disaster-recovery tested quarterly.
How the platform is built

The architecture, in plain language.

Six layers. Each does one thing. Each is observed and replaceable.

01

Microservice topology

Eligibility, coding, claim status, AR, reconciliation. each is its own service with its own database. One service can fail without taking down the rest.

02

Event-driven queues

Services talk through SNS/SQS, not point-to-point. Adding a new tool doesn’t require rewiring everything else.

03

Postgres + Redshift

Operational data in Postgres (RDS Multi-AZ). Analytical workload offloaded to Redshift. No single shared database under load.

04

Full observability

Datadog APM on every service. Per-call latency, error rate, payer-by-payer breakdown. We see problems before clients do.

05

Zero-downtime deploys

Blue-green deploys behind ALB. Roll forward in under 5 minutes. Roll back in under 60 seconds.

06

Audit log on everything

Every PHI access, every model decision, every claim edit. logged with user/service identity, retained 7 years.

How we run it

Production posture, written down.

multi-AZ
every service tier
no single-AZ failure mode
blue-green
deploys
zero-downtime, 60s rollback
7 years
audit log retention
per HIPAA + SOC 2
quarterly
DR test cadence
documented, externally observed
Anatomy of a single claim

How one claim moves through the platform.

A real trace, not a marketing diagram.

01
Eligibility check

Eligibility service runs 270/271. Result cached, event published.

02
Coding pass

Coding service consumes event, runs the model, queues for human gate.

03
Pre-submit scoring

Denial-prediction service scores the claim, routes high-risk to specialist queue.

04
Submit & track

Clearinghouse adapter submits 837. Claim-status service polls 277 until adjudicated.

05
Cash post + close

Reconciliation service matches 835 to claim. Variance flagged for human.

Ready to put Architecture in front of your CIO?

We’ll walk your team through the platform live, answer the hard questions, and leave you with documentation your security and engineering teams can actually evaluate.