MediFlow 360
    PULSE REVIEW · THE BILLING CHECKPOINT

    Before the bill leaves the desk, the case gets another read.

    Pulse reads every exam before billing—documentation, coding, lien amounts, and the missing pieces that create later friction. A person still signs off, with a cleaner record for everyone on the case.

    The pre-billing quality gate

    Pulse checks the record. You make the call.

    Pulse reviews and analyzes every exam for accuracy and completeness — documentation, coding, and lien amounts — and holds it at a human approval gate so nothing is billed until a person signs off.

    Documentation review

    Pulse reads the full exam — provider notes, treatment, and supporting records — and checks that the documentation actually supports what's about to be billed.

    Coding accuracy check

    Pulse cross-checks every CPT and ICD-10 code against the documentation, flagging mismatches, unsupported codes, and missed charges before they reach a bill.

    Lien & billing amount analysis

    Pulse analyzes the lien and billing amounts against your fee schedule and the work performed, catching over- and under-charges before the number is locked in.

    Completeness verification

    Pulse confirms nothing is missing — signed liens, required records, attorney and insurance details — so the exam is whole and ready before it's billed.

    Discrepancy flagging

    Anything that doesn't add up — a code without a note, a charge without support, a mismatched amount — is surfaced with Pulse's reasoning attached for a human to resolve.

    Final human approval gate

    Pulse never bills on its own. Every reviewed exam lands at a clear sign-off step where a person confirms it's correct and ready before anything is billed.

    — How it works

    From finished exam to approved for billing.

    01

    An exam is ready to bill

    When treatment wraps and an exam is queued for billing, Pulse picks it up automatically — no one has to remember to send it for review.

    02

    Pulse reviews everything

    Pulse reads the documentation, cross-checks the coding, and analyzes the lien and billing amounts — quality-checking the whole exam for accuracy and completeness.

    03

    It flags what needs attention

    Anything inaccurate, unsupported, or missing is surfaced with Pulse's reasoning attached, so the exam is corrected before it ever reaches a bill.

    04

    A human signs off

    The reviewed exam lands at a final approval gate. A person confirms it's correct and complete — and only then is it cleared to be billed.

    See it in action

    Watch Pulse review an exam before billing.

    This is a simulated review — no real exam data or backend. Watch Pulse read the documentation, cross-check the coding, analyze the lien amount, flag any discrepancies, and pause at the final human approval gate before anything is billed.

    Pulse ReviewLive demo
    Dr. Alvarez Orthopedics · pre-billing exam review

    Everything checks out — Pulse holds it for a human to approve.

    Reviewing exam · Case #1188
    Pre-billing quality gate · Dr. Alvarez Orthopedics

    Pulse is opening the exam to review…

    Exam under review

    Pulse quality-checks the exam, then holds it for a human to approve — nothing is billed until sign-off.

    Patient
    Marcus Lee
    Case
    #1188
    Exam
    Initial evaluation + treatment
    Amount to bill
    $4,820
    — What Pulse checks

    Every part of the exam, quality-checked.

    Pulse reviews the things that cause denied claims and lien disputes — and holds the final sign-off for a human.

    Documentation
    Verified to support the bill
    CPT & ICD-10 coding
    Cross-checked for accuracy
    Lien & billing amounts
    Analyzed against fee schedule
    Missed charges
    Flagged before billing
    Records & signatures
    Confirmed complete
    Final approval
    Held for human sign-off
    — Who it helps

    A bill both sides can read. Less to untangle later.

    For providers

    Bill clean the first time. Pulse catches coding errors, missed charges, and incomplete exams before they go out — so you get paid faster with fewer denials.

    • Coding and documentation checked before billing
    • Missed charges caught, not left on the table
    • Fewer denials and rebills downstream

    For law firms

    Liens you receive are already reviewed for accuracy and completeness, with the amounts analyzed — so there's less back-and-forth disputing what was billed.

    • Lien amounts reviewed and supported
    • Fewer billing disputes and corrections
    • Cleaner, defensible documentation on every exam

    For billing teams

    Stop manually auditing every exam line by line. Pulse does the first pass and surfaces only what needs a human eye, with its reasoning attached.

    • Automated first-pass review on every exam
    • Exceptions surfaced with full reasoning
    • A real sign-off step, not a rubber stamp
    Every exam reviewed before it's billed Full audit trail on every Pulse actionSee Pulse Intake See all platform features
    — Common questions

    Questions about Pulse Review.

    Pulse Review is MediFlow 360's pre-billing quality gate. Pulse, MediFlow's AI agent, reviews, quality-checks, and analyzes every exam — documentation, coding, and lien and billing amounts — for accuracy and completeness, then surfaces a final human approval gate so a person signs off before anything is billed.

    Pulse reads the full exam: the documentation and provider notes, the CPT and ICD-10 coding, the lien and billing amounts, and whether everything required is present — signed liens, records, and attorney and insurance details. It checks all of it for accuracy and completeness before billing.

    No. Pulse never bills on its own. Every reviewed exam lands at a final human approval gate where a person confirms it's correct and ready. Only after that sign-off is the exam cleared to be billed — Pulse does the work, a human approves.

    Pulse cross-checks every CPT and ICD-10 code against the exam's documentation, flagging codes that aren't supported, mismatches between the notes and the codes, and charges that were missed entirely — all before the exam reaches a bill.

    Pulse analyzes the lien and billing amounts against your fee schedule and the work actually documented, catching both over-charges and under-charges so the amount is accurate and defensible before it's locked in.

    Anything inaccurate, unsupported, or missing is surfaced with Pulse's reasoning attached, so the exam can be corrected before it's billed instead of being denied or disputed afterward.

    They're three features of the same Pulse AI agent. Pulse Inbox triages everything coming in, Pulse Intake proactively runs patient intake over SMS, and Pulse Review is the pre-billing gate that quality-checks each exam before it's billed. Together they cover the case from intake to billing — Pulse does the work, a human approves.

    Pulse Review is currently in early access. You can request a demo to join and have Pulse review and quality-check your exams before billing from day one.

    Pulse Review is in early access

    Review before you bill.

    Give every exam one more read, then give a person the final call.

    Request a demo