Your Falcon Health Journey: A Step-by-Step Guide
- Published
- Author
Yubin ParkPhD, Co-Founder
Get started with Falcon Health in three simple steps. From signing in to exploring Sentinel and Pulse, we'll show you the way.
Read moreDeep dives into healthcare fraud detection, AI innovation, and program integrity insights from our team.

Get started with Falcon Health in three simple steps. From signing in to exploring Sentinel and Pulse, we'll show you the way.
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Introducing Pulse & Sentinel v0.0.14—the first step in our vision to eliminate coordination overhead. When lean, expert teams can execute directly without handoffs, healthcare analytics moves at the speed of thought.
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Introducing Pulse & Sentinel v0.0.13—removing the three fundamental bottlenecks in healthcare analytics: opaque AI, fragmented data, and technical barriers. Now with transparent tool usage, unified data access, and automatic visualization generation.
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To effectively combat healthcare fraud, we need to think like fraudsters. Learn how understanding fraudster tactics—from timing and threshold gaming to identity manipulation—reveals critical system vulnerabilities and enables more effective fraud detection.
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Most healthcare data platforms make you jump through hoops before you can evaluate if they're right for you. We think that's backwards. Now you can try Pulse, Scope, and Sentinel—all three products—with just an email address.
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With healthcare fraud draining $760+ billion annually, pattern-matching detection methods are fighting a losing battle. Learn how investigative AI agents are revolutionizing fraud detection by reasoning like human experts instead of memorizing historical cases.
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Manual fraud investigation across internal datasets, digital footprints, and public records takes weeks. Our AI agent orchestrates specialized sub-agents across all three data pillars, delivering comprehensive investigation reports in hours instead of days.
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Despite impressive general intelligence, AI models struggle with specialized healthcare fraud detection. The gap isn't capability—it's context. Here's how Falcon AI bridges general intelligence to actionability by giving AI the right domain-specific tools, achieving 8.3/10 performance vs 6.5-7.2 for baseline models.
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The Medicare Coverage Database governs $32 billion in improper payments yet finding relevant policies requires navigating 10,000+ documents with inconsistent medical terminology. Current search tools fail, forcing analysts to manually hunt through irrelevant results. Here's how Falcon Healthcare built AI that actually understands healthcare data.
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When "recession-proof" becomes free-fall, and billions vanish overnight
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Stop being blindsided by utilization spikes and fraud schemes that traditional analytics miss. See how enhanced completion factor methodology with adaptive service grouping transforms reactive payers into proactive ones.
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HHS-OIG revealed their keystroke error detection algorithm in 2023. We analyzed real client data and found 12.81% of I110 codes might be I10 typos—representing millions in audit exposure.
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How we built custom domain-driven tools for our AI investigator to navigate Medicare coverage databases, turning fuzzy policy language into precise, searchable criteria that dramatically improve fraud detection accuracy.
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