The enrollment layer · built 2026

Enrollment data,
translated.

Velora is the connective tissue between the systems that manage employees and the carriers who cover them. Send us whatever shape your data is in. AI renders it, contract-tests it, transmits it, and reconciles the acknowledgment — without an integration engineer on either side.

40
Carriers pre-mapped
8
X12 5010 transactions
100%
Hash-chain audited
0
Integration engineers
01 The flip

Every EDI vendor makes you chase each carrier. We invert it.

Industry default
Hire an integration engineer per carrier.
Wait 4–10 weeks per trading-partner setup.
Maintain a bespoke mapping file per HRIS export.
Pray the next vendor format change doesn’t take a week to debug.
Email a human when something breaks.
Velora
Carriers self-serve onboard through the portal.
Sandbox-first — three clean runs and you’re live.
Post data in whatever shape it is; AI builds the mapping.
AI anomaly alerter and connection-health monitor.
Voice-guided onboarding — talk through the setup.
02 Built for each side

A two-sided network pretending to be infrastructure.

For carriers

One endpoint. Every broker on the network.

Upload your companion guide, paste your SFTP credentials, pass three sandbox tests. Files from every Velora-connected broker route to the endpoint you already have. Free for carriers, forever.

For brokers

Write one integration. Reach every carrier.

The carriers you name are usually already on the network — or they self-onboard in half an hour. You ship enrollments; we route. No per-carrier certification, no re-negotiating trading partner IDs.

For TPAs

Multi-tenant routing without the engineering team.

Manage hundreds of employer groups across dozens of carriers. AI maps each export shape; we keep the trading partner relationships live. Per-tenant audit log, per-tenant billing, single dashboard.

For platforms

Stop shaping data to fit us. Send what your DB already holds.

Ben-admin, HRIS, payroll. Our mapping engine takes any record shape. AI proposes a translation on first sample; we auto-confirm the high-confidence ones. Contract-tested before a single live record runs through it.

Every EDI shop sells you a connector. We’re selling you the connectionitself — the place where every carrier and every benefits platform shake hands, and the intelligence that keeps that handshake working when the data underneath keeps changing.

03 The surface

Every X12 5010 transaction. One pipeline.

Enrollment

834

Benefit enrollment and maintenance — the core of every broker-to-carrier transmission. Generated, signed, transmitted, and acknowledged with TA1 + 999.

Remittance

835

Claim payment and remittance advice. Parsed, reconciled, surfaced in your inbox with segment-level error detail.

Eligibility

270·271

Real-time inquiry and response. Ask a carrier if a member is covered; get a structured answer in seconds.

Claims

837

Professional, institutional, and dental claim submissions. Full X12 5010 compliance; auto-corrected rejections retried in-flight.

Status

276·277

Claim status inquiry and response. Poll on your schedule; we surface each claim’s state through your webhook feed.

Premium

820

Premium payment transmission. Generated from your billing source of truth, routed to the payer, acknowledged with cash-application detail.

04 The proof

What’s already shipped, under the hood.

40
Carrier profiles

Companion-guide-aware configs covering every major U.S. carrier — Aetna, Anthem, Blue Cross plans, Cigna, Kaiser, UnitedHealth Group, and 34 more.

480
Golden 834 fixtures

Per-carrier reference files used to lock the X12 generator against regression. Every commit re-runs the matrix; no carrier-format drift slips through.

4.8K
Tests in production

4,277 backend tests + 549 portal tests, including AI mapping verification, X12 generator round-trips, and end-to-end SFTP transport over a mock server.

0
Plaintext PHI at rest

AES-256-GCM encryption on every PHI field. TLS 1.2+ in transit. PGP-wrapped SFTP transport with host allowlist. BAA included on every paid plan.

Hash-chained audit log

Every admin action and every PHI access cryptographically chained. Migration 0012. Tamper-evident by design — not just append-only.

3
AI capabilities live

Companion-guide parser (Claude reads PDF guides into validation rules), flat-file discovery (auto-generated parsers from sample files), anomaly alerter (rejection-rate spike + novel reason codes + volume anomaly).

1
Identity primitive

Path B identity engine handles the edge cases that break everyone else: member mergers, divorced-dependent-becomes-subscriber, cross-tenant continuity. Behind a flag until first qualifying customer.

OpenAPI + SDK stubs

Full OpenAPI 3.1 spec for every customer endpoint. TypeScript SDK type stubs published. Webhook signing playground for subscriber verification.

05 The roadmap

Honest about where we’re going next.

Sprint 1In flight

PHI scrubber + first-real-data flip

Idempotent scrubber for the test-data window before any real member record lands. Data-state document flips to real-data-bearing once carrier #1 signs.

Sprint 2Commercial-gated

First production SFTP handshake

LOI → BAA → cert exchange → dry-run upload → 999/TA1 ack pull. Connection-health monitor live; webhook delivery flag flipped against a real subscriber.

Sprint 3Building now

Voice-guided onboarding

Ask Velora to walk you through your companion-guide upload, your SFTP setup, your first sandbox 834. Vapi-powered voice agent with full call-recording audit.

Sprint 4Scoped

CAQH CORE Phase II badge

Operator decision pending: certification ($15–30K, 2–4 mo) or formal skip-with-doc + per-carrier impact map. Most carriers don’t require it; some do.

Sprint 5Q3 2026

Path B identity activation

Member-merger and divorced-dependent edge cases live for first qualifying customer. Identity primitive shipped; flag flips on first signal.

Ready to connect.

Walk through the 5-minute demo, or pick the door that fits your seat at the table.