PHI Firewall
A sanitizer sits in the call path itself. Protected health information stops there, before any model sees it, and every model call is written to a transparency ledger.
AI agents for healthcare operations
Where your systems stop, our agents start
- 30agents
- 240+skills
- $45M+identified a year, modeled for a 500,000-life plan
PulseSync puts AI to work inside your claims operations. Our 30 agents catch fraud, waste and abuse, and they handle the review work across claims, clinical notes, stop-loss exposure and leave cases that your systems can't finish. They work with your current systems rather than replacing them. Every recommendation is built on 240+ skills grounded in published rules and guidelines, and each one shows its work in seconds. The result is savings you can verify, productivity you can see quickly, and front-line teams that spend their time on the decisions that matter.
CLAIM IDCODEAMOUNTSTATUS
MEDIAN LATENCY < 5s
30 agents.
Four capabilities
Machine learning, trigger-based rules and LLM inference, composed in one no-code agentic platform that explains itself. Every agent is trained, tested and audited on its own, and built from the same library of 240+ skills your team uses to assemble workflows.
Payment Integrity
Eight detectors run the same claim in parallel, pre- and post-payment.
- Duplicate Claims
- Unbundling
- Geographic Outlier
- Phantom Billing
- Provider Anomaly
- Service Pattern
- Rx Diversion
- Specialty Pharmacy
Utilization & Clinical Review
Operative notes to a cited determination in about three seconds.
See the capabilityStop-Loss
Exposure, risk and renewal economics on the same claims data.
- High-Cost Claimant Identifier
- Aggregate Exposure Monitor
- Specific Risk Predictor
- Catastrophic Claim Early Warning
- Renewal Pricing Validator
- Network Cost Optimization
Benefits & Leave
FMLA, ADA and state PFML, from intake through adjudication to payroll.
- Intake & Classification
- FMLA Eligibility
- State PFML
- WH-380 Certification
- Designation
- Leave Coordination
- Intermittent Leave
- Statutory Notices
- Operational Comms
- Benefit Instruction
- State-Portal Filing
- Return to Work
- Employer Onboarding
- SOC 2 Compliant
- HIPAA Compliant
- AWS Infrastructure
- Pentested Independently, full stack
How it works
At 2 a.m., while
everyone sleeps
The workflow triggers itself. Eight specialists take the same claim in parallel, and each one returns its own finding, evidence and confidence score. By morning your team has a queue ordered by what actually matters, not by what arrived first.
- Trigger Scheduled or event-driven. No human in the path
- Fan-out Eight agents, same claim, simultaneously
- Evidence Each finding cites its own data points
- Threshold You set the bar. Confidence, risk, or reasoning
- Review Only what crosses the bar reaches a person
- Resolution The workflow finishes the rest. Nothing queues
Who we serve
Serving a cross section of the
complex healthcare ecosystem
Third Party Administrators
Protect plan dollars and strengthen client retention, with every claim read before it is paid.
- Payment Integrity
- Utilization & Clinical Review
- Stop-Loss
- Benefits & Leave
Health Plans
Payment integrity across the claims lifecycle, and clinical review that holds up on appeal.
- Payment Integrity
- Utilization & Clinical Review
Brokers
Sharpen risk visibility and claim review, and bring evidence to every renewal conversation.
- Stop-Loss
- Payment Integrity
- Utilization & Clinical Review
Benefits & Leave Administrators
Streamline complex, document-heavy leave and benefits work, from intake to payroll.
- Benefits & Leave
- Payment Integrity
Proof
$45M+ identified a year, for a 500,000-life plan
Modeled on a $3.5–4 billion book: about 5.5% of spend flagged, 1.5–2% confirmed, caught at the point of adjudication in seconds.
A model, not a promise. Give us 12 months of your claims and we'll run it on your numbers.
Trust & security
Built for the room
where procurement
says no
Glass Box Reasoning
Every alert carries its reasoning, its evidence quoted from the record, and how the confidence was derived. Confidence is measured, never self-reported by the model.
Immutable Audit
A SHA-256 hash chain covers every agent action. UPDATE and DELETE are revoked at the database, for us as well as for you, and a break in the chain raises a security event.