Claims Automation & Adjudication
Rules-driven workflows, validation, duplicate detection, status management and operational dashboards designed around real claims processes.
Build smarter claims workflows →Logic Nebula designs custom software, automation and data solutions for health plans, IPAs, MSOs and healthcare organizations—turning difficult workflows into reliable, scalable systems.
*Selected historical project experience; figures illustrate systems designed and supported during prior client engagements.
Deep healthcare domain knowledge meets practical software architecture. We build systems that reduce manual work, improve visibility and connect fragmented operations.
Rules-driven workflows, validation, duplicate detection, status management and operational dashboards designed around real claims processes.
Build smarter claims workflows →Real-time and batch eligibility solutions, 270/271 integration, scenario handling and automated exception workflows.
Modernize eligibility →Parsing, transformation and integration for 270/271, 834, 835, 837 and other healthcare data formats.
Connect your data →High-volume SQL architecture, ETL pipelines, reporting datasets, performance tuning and healthcare data consolidation.
Strengthen your data platform →Custom rules, procedure and diagnosis validation, authorization matching and workflow automation for complex operational requirements.
Automate workflows →.NET, Azure and SQL solutions built around your existing systems—from desktop utilities to APIs, cloud services and enterprise integrations.
Design your solution →The hardest part of healthcare software is rarely the code. It is understanding the rules, exceptions, data and operational reality behind it.
Selected results from healthcare technology engagements led by Logic Nebula's founder during his consulting and engineering career.
Engineered automation supporting 20,000+ claims per day across 50+ IPAs, with approximately 80% automated processing and centralized operational visibility.
Built eligibility workflows handling more than 1.2 million transactions per month, with 100+ response scenarios and automated claim flagging.
Designed ETL and integration platforms supporting tens of millions of member and provider records across 20+ health plans and multiple source formats.
Logic Nebula is a software architecture and consulting company focused on healthcare technology. Founded in 2024 by Silver Baghdasarian, the company brings nearly two decades of software engineering experience and extensive work across claims, eligibility, EDI, data engineering and healthcare operations.
Our approach is simple: understand the operational problem first, then engineer the right solution—one that integrates with the systems you already depend on and remains maintainable as your business grows.
Tell us what is slowing your team down. We can help you design, automate, integrate or modernize the systems behind your operations.