The future of work is AI-centric
A claims examiner's day is mostly reading and checking, and software can now do most of that. Teams built around this spend their time on the calls that need a person.
Most healthcare AI never reaches production, or your claims team
AI models are good enough. But the teams building them haven't worked a claim queue, aren't healthcare experts and don't have end-to-end visibility of your claims management process.
We built PulseSync to address:
- Agents work each claim like an experienced examiner
- Every decision arrives with evidence and insights
- Your team runs the system without us, or your engineers
Three positions that
shaped the build
AI needs to be in the hands of your workers
The people who know which claims are wrong are already working them. Ask them to wait for a data scientist and a six-month integration, and that knowledge never gets captured.
Every decision shows its work
If a decision cannot show its evidence, it is a guess with a number attached. Every finding carries the exact line from the record that triggered it.
Leadership
Client-first
mentality
Your outcomes are our operating model. Together, our leaders have built and scaled businesses that deliver real financial value to health plans and TPAs. Along the way, we've grown teams that thrive and helped develop the next generation of leaders. We challenge the status quo because transforming healthcare takes more than incremental change.
20+ years building enterprise SaaS at scale. Twice a CTO leading cloud-native platforms serving 30M+ lives, with depth in AI/ML, data architecture and distributed systems. Three exits.
Same executive team · 4.5 years
Four-time CEO. Deep expertise in health plan leadership, commercial growth strategy and operational execution. Three successful debt raises and IPO experience.
Same executive team · 5 years
25+ years in healthcare sales, commercial and product marketing, with deep understanding of go-to-market strategy, operations and client service.
Same executive team · 5 years
25+ years in healthcare operations, across TPA claims, analytics and provider operations.
15+ years as a product leader building AI-powered healthcare platforms, with a background in enterprise SaaS and data products.
Same executive team · 3.5 years
Drives product requirements, agent prioritization and healthcare domain translation across the payment integrity, clinical and stop-loss capabilities.
Advisors
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Dr. Priscilla Alfaro Executive Advisor, Clinical & Payment IntegrityBoard-certified pediatrician and Certified Fraud Examiner. Vice President of Payment Integrity at Blue Cross NC, Chief Medical Officer at Zelis, Staff Vice President of Program Integrity at Anthem, and Medical Director at the Texas HHS Office of Inspector General. Co-chairs the NHCAA Medical Advisory Board.
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Justin Tran Strategic Advisor, Strategy & GTMMcKinsey alum. Chief Strategy Officer at Personify Health, and CGO & EVP Product at HealthComp. Commercial leadership, product, and applied AI, in healthcare and geopolitical/supply-chain risk.
We ran the operations this platform automates. We watched skilled people spend their days on flags that turned out to be nothing, and we watched promising AI stall because nobody could explain a single decision. We started PulseSync so the work gets done, and every decision shows its work.
Controls
The controls behind
every determination
PulseSync handles protected health information for health plans, TPAs and brokers. This is a summary of our security posture. Full architecture detail is available on request.
Compliant
SOC 2
Controls mapped to the Trust Services Criteria.
Compliant
HIPAA
Privacy Rule, Security Rule and HITECH. BAA available.
Executed
Frontier-model BAA
In force with our model provider.
Zero data retention (ZDR).
Complete
Penetration test
Independent third party, full stack.
Six controls, enforced in code
These are built into the platform, and each one fails closed.
PHI Firewall
A sanitizer sits in the call path itself. Protected health information stops there, before any model sees it.
Glass Box Reasoning
Every determination carries its evidence. Citations are quoted word for word from the record itself.
Autonomy Controls
You decide what each type of decision may do on its own. A medical-necessity denial always goes to a physician, and no setting overrides that.
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.
Injection Shield
We treat clinical documents as hostile input. Adversarial instructions get stripped before any text reaches the model.
Tenant Isolation
Each client runs in its own isolated database, so one client’s data is never within reach of another’s.
Security questionnaires and architecture details can be requested under NDA.
Email the security team