The problem
Healthcare finance teams are drowning in data nobody can read.
Every Medicare and Medicaid finance team in the country receives critical payment data
from CMS in formats built for 1970s mainframe computers — fixed-width flat files with
cryptic field codes and no headers. Understanding this data requires a 200-page technical
manual and years of experience most teams don't have.
The people who knew how to decode these files are retiring. Junior staff don't know the
formats. And the workaround — paying consultants hundreds of dollars an hour to do what
should take minutes — doesn't scale.
CMS flat files nobody can parse
835s, 837s, MOR files, PDE data, payment summaries — all arrive in COBOL-era formats that require specialized knowledge to interpret. That knowledge is walking out the door.
Weeks lost on data translation
Before a single dollar of analysis can happen, finance teams spend days or weeks just converting raw government files into something a human can read. Every bid season. Every reconciliation cycle.
Narrative work that takes forever
Budget variance memos, cost report sections, RADV audit responses — all written manually from scratch, every cycle, by analysts whose time is worth far more than document drafting.
No tools built for this domain
Generic BI tools don't know what PMPM means. General AI assistants don't know CMS codebooks. SOX controls, MBE reporting, payment adjustment reconciliation — this vocabulary doesn't exist in off-the-shelf software.
Why "zeebrafish"
Scientists picked zebrafish for one reason: transparency.
Zebrafish embryos are naturally see-through. It's the reason they became one of the most
studied organisms in biomedical research — under a microscope, scientists can watch a
heart form, blood cells move, and organs develop in real time, without a single incision.
What's normally hidden inside a living system is, in a zebrafish, simply visible.
CMS data works the opposite way. Fixed-width flat files, undocumented field codes, and
specs written for 1970s mainframes hide what's actually happening inside your Medicare
and Medicaid books. The information is all there — it's just opaque.
🔬
The metaphor, made literal
Because a zebrafish embryo is transparent, a researcher can watch a single heart cell
divide under a microscope — no dissection required. That's the same directness
Zeebrafish AI brings to government data: upload the file CMS already sent you, and
see straight through to the numbers, the outliers, and the questions that matter.
No black box. No guesswork. Opaque government data, made transparent.
The solution
Upload the file. Get the analysis. Move on.
Zeebrafish AI is an AI finance analyst that already knows Medicare and Medicaid data cold.
Upload any CMS flat file — and receive a plain-English explanation written at the level of
a senior Medicare finance analyst, structured exactly the way your team needs it.
📂
Upload your file
835, 837, MMR, MOR, PPR/PRS, PDE, Part D, cost report, payment summary — any CMS format
⚡
AI analyzes it
Domain-trained on Medicare and Medicaid finance — no setup required
📄
Receive your report
Plain-English summary, key flags, and recommended next questions
✅
Act on it
Your team makes decisions — instead of decoding government data
Why Zeebrafish AI is different
Built from the inside — not reverse-engineered from the outside.
Domain expertise baked in — not bolted on
Built by a Medicare finance analyst from Kaiser Permanente's National Medicare Finance division. The product understands MMR and PPR/PRS reconciliation, HCC risk adjustment, V24/V28 model transitions, Part D payment analytics, SOX control processes, and CMS/MBE reporting because it was built by someone who works with this data daily.
Analysis, not just translation
Anyone can summarize a file. Zeebrafish AI flags what's financially significant, identifies anomalies, and surfaces the questions your team should be asking — the way a senior Medicare finance analyst would after reviewing the same data.
Works with whatever you have today
No new data warehouse. No IT implementation. No rip-and-replace of existing systems. You upload the file CMS already sent you and get your answer.
Careful with sensitive data by design
Every submission gets a full audit trail. We're upfront that we're currently in private beta, tested with synthetic files and Public Use Files — and working toward signed BAAs across every vendor in our pipeline before we handle real PHI. Full detail on our
data handling page.
"
We have three people whose entire job is converting CMS flat files into something our
finance team can read. It takes two weeks every quarter. If we could get that time
back, we'd have a completely different capacity for actual financial analysis.
— VP Finance, mid-size Medicare Advantage plan
Who it's for
Any team that touches CMS data.
- Medicare Advantage plan finance teams managing bids, RADV, and risk adjustment reconciliation
- Medicaid MCO finance teams handling FMAP, encounter data, and state reporting
- Medicare payment reconciliation and reporting teams at large integrated health systems
- Hospital finance teams preparing Medicare cost reports and DSH calculations
- ACO and value-based care finance teams managing CMS benchmarks and shared savings
- Finance analysts who regularly receive CMS flat files and spend days decoding them
Free during private beta
See it work on your actual files.
Upload a real file — 835, MMR, MOR, PPR/PRS, payment summary, cost report — and
receive a full plain-English analysis within five minutes. No commitment. No setup.
What you'll receive:
File type identification · Key financial summary · Anomaly flags · Recommended next questions · Full audit log entry
Upload your file below ↓
Try it now
Upload a file — see straight through it.
Zeebrafish AI produces a first-pass analyst read to accelerate your team's review — it
is not a substitute for a CMS-certified reconciliation, audit opinion, or legal/compliance
sign-off.