Our solutions - Your AI Co-Analysts for Healthcare
Falcon is an AI-powered analytics platform built for healthcare. Our AI co-analysts work alongside your team to turn weeks of analysis into hours, delivering professional insights, beautiful reports, and smart monitoring across network analytics, claims intelligence, and risk adjustment.
Sentinel
Your AI Co-Analyst for Claims Intelligence
Investigate billing patterns, understand Medicare policies, and detect fraud, waste, and abuse. Our AI agents research across internal data, digital footprints, and public records to deliver comprehensive investigation reports, turning weeks of manual analysis into hours.
- Intelligent investigation that understands Medicare policies and cross-references multiple data sources
- From weeks to hours: comprehensive investigation reports delivered faster than ever
- Proactive monitoring that detects anomalies and alerts you to patterns that need attention
- Professional reports ready for leadership review and action
Accepted Data Sources:
- X12 837
- BCDA API
- CCLF
- ADT
Pulse
Your AI Co-Analyst for Network Analytics
Understand member attribution, track utilization patterns, benchmark performance, and identify the best providers for your organization. Turn complex Medicare data into clear, actionable insights that help you optimize your provider network and value-based care programs.
- Detailed MSSP and ACO REACH performance metrics with drill-down capabilities
- Transparent benchmarking showing exactly how you compare to peers
- Root cause analysis connecting utilization patterns to performance outcomes
- Professional reports that stakeholders and leadership can immediately understand
Scope
Your AI Co-Analyst for Risk Adjustment
The Risk Adjustment Payment Integrity Command Center for PACE Programs. Automate the processing of all 70+ CMS files, reconcile payments across RAPS, EDS, and MARx, and get complete visibility into your risk adjustment revenue without the manual spreadsheet fatigue.
- 100% file coverage across all 70+ CMS data files including MAO-002, MAO-004, MMR, and MARx
- Real-time reconciliation of files, membership, and payments with AI-powered insights
- $80-$160 PMPM revenue recovery through complete data visibility
- Audit-ready documentation ensuring Fair, Accurate, Complete, and Timely payments
Why Falcon - AI That Speaks Healthcare
We built Falcon to be the analytics partner we wished we had. AI that truly understands healthcare and works alongside your team to deliver results.
From Weeks to Hours
What used to take your team days or weeks of manual analysis now takes hours. Our AI co-analyst handles the heavy lifting so your experts can focus on decisions.
Built for Healthcare
Generic AI tools don't understand Medicare policies, CMS data formats, or healthcare operations. Falcon does. We've encoded deep healthcare expertise into every analysis.
Professional Reports
Stop spending hours formatting spreadsheets for executives. Falcon delivers beautiful, presentation-ready analytics that stakeholders can immediately understand and act on.
Smart Monitoring
Don't wait for problems to become crises. Our AI continuously monitors your data, detects anomalies early, and alerts you to patterns that need attention.
Works Alongside You
Falcon isn't here to replace your team. It's here to amplify them. Our AI co-analysts handle the research and analysis so your experts can focus on strategy and decisions.
More to Come
Pulse, Sentinel, and Scope are just the beginning. We're applying our AI co-analyst framework to healthcare one domain at a time, with more solutions on the way.
Ready to put an AI co-analyst to work for your team? Let's talk.
Our offices
- Palo Alto, CA
Corporate HQ - Atlanta, GA
Technology Branch