Payment integrity, utilization and clinical review, stop-loss, and benefits and leave. Every capability is a set of agents built from the same skill library, governed the same way and run on the same data, so a customer can use one or all four.
Fraud, waste and abuse detection across pre- and post-payment. Eight agents work the same claim in parallel, each finding with its own evidence chain.
Used by TPAs · Health Plans · Brokers · Leave Administrators
Prior authorization and medical necessity. A medical-necessity denial always goes to a physician, and no setting overrides that.
Used by TPAs · Health Plans · Brokers
Exposure monitoring, renewal pricing and network cost optimization, run on the same claims data as payment integrity.
Used by TPAs · Brokers
LOA, FMLA and state PFML, from intake through adjudication to payroll, in thirteen agents.
Used by TPAs · Leave Administrators
When PulseSync stops improper payments before they go out, your clients spend less, and you're the partner who made that happen. Lower costs make you more competitive in the market, help you win renewals, and give you a stronger case for growing the relationship.
Money caught after payment comes back slower, costs more to pursue, and often doesn't come back at all. Every month between payment and finding drops the rate.
Every improper payment stopped before it goes out is waste avoided, zero recovery cost incurred and no provider friction. AI handles the volume so your experts can focus on judgment calls.
PulseSync delivers you different options and better outcomes
Every capability runs on the same platform and the same data, so you can start with one and add the rest.
Talk with us