The problem
The pain it kills.
Home-care and community-health agencies stitch together a schedule app, a separate electronic-visit-verification tool, a paper compliance binder, a billing clearinghouse, and a payroll provider, then reconcile them by hand. Shifts collide, a caregiver clocks in at the wrong house, certifications lapse unnoticed until an audit, visits never become clean claims, and nobody has a single source of truth for who is working, where, whether they are cleared to be there, and whether the agency ever got paid.
PulSe replaces the schedule app, the clock-in tool, the compliance binder, the billing clearinghouse, the payroll service, and the spreadsheets in between with one source of truth. Its core is the cascade: one verified visit auto-generates and scrubs the EDI 837P claim, posts the ERA 835 remittance, and drives payroll from the same EVV clock-in hours, with no double entry. It runs nine-plus care verticals (DDS/IDD group homes, ABA, pediatric, physician, rehab, wound care, mental health, hospice, home health, staffing, telehealth, and remote monitoring), a full revenue cycle through a live Availity clearinghouse, money movement (GL auto-posting, QuickBooks sync, Plaid, dual direct deposit), and 32 AI agents, five of which take real pipeline actions, all under owner controls that keep money manual by default. In English and Spanish.
How it works
How it works.
1. One verified visit, end to end
The cascade is the core: a planned shift is matched to a cleared caregiver, clocked in by GPS inside the geofence, documented as a billable encounter, auto-scrubbed into an 837P claim, posted from the 835 remittance, and paid into payroll from the same hours - no re-keying.
2. Compliance that blocks before it warns
Certifications, training, and documents tracked in one place; the compliance enforcer Manka runs continuously and cannot be disabled, so a lapsed cert is blocked before the audit finds it. HIPAA controls (audit log, MFA, RBAC, RLS) sit underneath everything.
3. Get paid, and move the money
A full revenue cycle (837P, 835, denials, AR-aging, scrubbing) through a live Availity clearinghouse, plus GL auto-posting to a 35-account chart, two-way QuickBooks sync, Plaid banking, and dual direct deposit (Stripe Connect or NACHA ACH).
4. AI agents you stay in control of
32 AI agents, five of them named Tier-3 execution agents that act (Manka compliance, Anye revenue cycle, Vault payroll/ACH, Atlas scheduling, Gateway intake), governed by owner toggles and per-agent approval thresholds so nothing automated happens without a rule you set.
What you get
One platform, everything in its place.
- The cascade: one verified visit auto-flows schedule to EVV to clinical to 837P claim to 835 payment to payroll, no double entry
- Nine-plus care verticals on one platform: DDS/IDD group homes, ABA, pediatric, physician, rehab, wound care, mental health, hospice, home health, plus staffing, telehealth, and remote monitoring
- Electronic visit verification with GPS geofencing, IVR, manual attestations, and exception handling
- Compliance enforcer (Manka) that blocks lapsed certs before an audit, plus HIPAA controls (audit log, MFA, RBAC, RLS) and a rate-limited API
- Full revenue cycle through a live Availity clearinghouse, with GL auto-posting, QuickBooks two-way sync, Plaid, and dual direct deposit (Stripe Connect / NACHA ACH)
- 32 AI agents (five take real pipeline action) under owner toggles and approval thresholds; built-in telehealth and Slack-grade communication
- Multi-tenant by design, English and Spanish, with a 14-day public self-signup trial and a platform-admin onboarding wizard
Who it is for
Who it is for.
Home-care and community-health agencies and healthcare organizations of every size, from a single-vertical agency to a multi-branch operation running several lines of business across shifts, roles, and locations.