Clinical data in. Everything else on your terms.
CMS is forcing payers to receive clinical data they've never had to handle. Zkeleton is the isolated environment where it lands, compliant, controlled, and ready for everything that actually moves the needle.
The Problem
CMS-0057 is forcing payers to receive clinical data they've never had to handle. Deadline January 1, 2027.
Nobody built the receiving layer.
Zkeleton is that layer. Receive it. Control it. Use it on your terms.
Receiving Layer
Clinical data arrives from other payers via CMS-0057 exchange. Zkeleton receives it, normalizes it, routes it into your environment. Compliant from day one.


Private Bubble
Each payer gets their own isolated infrastructure. What happens to other customers can never affect you. No shared breach risk.
HOW IT WORKS
.01
Receive
Clinical data arrives from other payers and providers. Zkeleton receives it, normalizes it, routes it into your isolated environment. CMS-0057 compliant from day one.
.02
Isolate
Your data lives in your own private bubble. Completely separated. No shared infrastructure, no shared breach risk. What happens to every other customer can never touch you.
.03
Use it on your terms
FWA detection. Risk scoring. Care gap identification. Partner access. Your models, your vendors, your rules. Clinical data in. Everything else on your terms.
The Market Reality
The cost of the Fidelity Gap and why shared infrastructure failed.



Claims Blind
Claims adjudicated without clinical documentation
Records Exposed
Records exposed in Change Healthcare breach
Breach Cost
Direct costs to UnitedHealth Group

We're not building another exchange network. Every competitor routes data through shared pipes. The same architecture that failed at Change Healthcare.
— Zkeleton
Get in Touch
We're pre-seed and building. If you're a payer evaluating clinical data infrastructure, let's talk.
Frequently Asked Questions.
Common questions about Zkeleton and how we work.




