Helping American Families
Save thousands of Dollars every year
nēdl Pulse is an AI-native platform that automates payment integrity for Regional Blues, Medicare Advantage, and Medicaid MCOs. Recover leakage, meet CMS mandates, and cut vendor costs by 50%—all in under 90 days
Claims, Policies, Contracts, Clinical Notes, Medical Records
Entities, Relationships, Context, Temporal
Logic, Reason, Clauses, Context, Codes
Data, Relationships, vectors, Embeddings
Auditable, Explainable, Human-in-the-Loop
nēdl Pulse leverages advanced AI and automation to simplify the complex healthcare payment integrity value chain—cutting through inefficiencies and delivering measurable savings.
Claim Repricer
Comprehensive Medicare-equivalent repricing across all major payment schedules and claim types. Built for scale, performance, and compliance.
Contract Library
Leverage AI to extract, structure, and understand complex provider contracts and reimbursement terms—ensuring correct application during claims processing.
Policy Intelligence
Continuously benchmark payer reimbursement policies against CMS guidelines and market standards to ensure alignment, reduce variation, and support strategic planning.
Payment Leakage Analysis
Conduct advanced post-payment audits to identify, quantify, and prevent overpayments, misaligned reimbursements, and compliance risks—powered by AI analytics and real-time insight.
$5.6T
US Healthcare spend in 2025
$100B+
Annual Payment Leakage
~$28
PMPM Burden on Families
~$13
PMPM Lift Impact
~$49B potential recovery annually = ~$13 PMPM affordability lift for 300M members
Repricing and Prepayment Validation
AI ensures error-free claims and compliance before payment
Post-Payment Analysis
Detects payment errors, enables recovery, and refines processes
Analytics & Intelligence
Delivers actionable insights and conversational agents for deep data analysis
Fraud, Waste & Abuse Detection
Identifies anomalies, patterns,and risks with precision
Contract Compliance
Aligns claims with policies and terms to minimize disputes
Powered by compound AI, machine learning, and NLP, Pulse delivers accurate Medicare-equivalent claims repricing, contract compliance, and policy alignment—significantly reducing payment leakage.
Built to plug into your existing data and analytics workflows, Pulse delivers:
Seamless integration with claims and payment systems
Rapid deployment and low lift for IT teams
Actionable analytics and conversational AI for deeper insights
Measurable cost savings by reducing overpayments and leakage
Neural Engine
Symbolic Component
Integration Layer
See the platform with our proprietary architecture in action
Book a demoInnovation
We are dedicated to advancing artificial intelligence by developing state-of-the-art products, consistently pushing the boundaries of technology and enabling business transformation.
Customer-Centricity
Our approach puts customers first; we strive to address their needs and challenges with effective technologies and tailored solutions.
Integrity
We adhere to principles of honesty, transparency, and ethical conduct in all our interactions and decisions.
Excellence
We pursue the highest standards of quality and performance, with a continuous commitment to improvement.
Collaboration
We encourage teamwork, ongoing learning, and knowledge sharing, cultivating a collaborative atmosphere for all stakeholders.
Payment leakage. Claims are paid incorrectly because policies are stored in PDFs, contracts drift, and clinical complexity masks errors. We turn those documents into executable rules so payers can detect, prevent, and defend every dollar.
Legacy tools store documents; we compute them. Our AI-native, neuro-symbolic engine extracts facts, verifies them against rules, and supports decision-making with clause-level provenance.
Claims Repricer, Policy Intelligence, Contract Library, and DRG Review & Reclassification—all feeding Payment Leakage Analysis and predictive ranking.
No—nēdl augments coders, nurses, clinicians, SIU/FWA, and existing vendors. Most customers run nēdl alongside current workflows to expand coverage and reduce rework. We can review 100% of claims, policies, and contracts at scale and speed.
Learn why traditional rule-based systems and pure neural approaches both fail in complex clinical decision-making—and how our breakthrough architecture solves problems that seemed unsolvable just 18 months ago.
