For providers, payers, pharmacies and managed care organizations

Find the denial before the claim goes out.

Most revenue leakage is discovered after the fact — in a denial letter, a reconciliation, an underpayment nobody caught. Y&L's dedicated healthcare practice uses automation and AI to analyze contracts, catch coding mismatches and flag underpayments before submission, so avoidable denials never happen.

Let's talk → See what we do
9,500+
Global team members across the YASH group
25+
Years of enterprise IT delivery
100+
Fortune 500 clients
43+
Delivery centres worldwide
Where revenue leaks

Four problems that cost you after the claim has already left

Every one of these is solvable upstream. The difference is whether the check happens before submission or after the denial.

01
Prior authorization that stalls care and cash
Manual review queues, payer-specific rules and missing documentation delay approvals and drive avoidable write-offs. Y&L builds automation and AI-assisted workflows that surface the authorization requirement, the payer rule and the missing artefact at the point of order.
02
Coding mismatches caught by the payer, not by you
A mismatch found downstream is a denial, a rework cycle and a delay. We apply AI-driven pre-submission checks that compare coding against contract terms and payer policy before the claim goes out, rather than reconciling the damage afterwards.
03
Underpayments buried in contract language
Contract terms are complex, variable and rarely re-checked against what was actually paid. Y&L uses automation and AI tools to analyze contracts and flag underpayment patterns systematically instead of by sampling.
04
Managed care, Medicaid and reconciliation running on manual effort
Utilization management, managed care administration, billing and claims reconciliation absorb enormous staff time. We deliver process automation, platform modernization and data services that take the manual work out and make the numbers current.
A dedicated healthcare practice

Digital transformation, modernization, application management, data and AI

Y&L works with healthcare providers, pharmacies, managed care organizations and payers across the full technology estate — delivered by one accountable partner.

DATA & AI SERVICES

Decisions before the deadline

  • AI-assisted contract analysis
  • Pre-submission coding validation
  • Predictive analytics on denial patterns
  • Enterprise data management & governance
REVENUE CYCLE

Stop the leakage upstream

  • Prior authorization workflow
  • Underpayment detection
  • Billing and claims management
  • Reconciliation automation
MANAGED CARE & MEDICAID

Administration that keeps pace

  • Utilization management support
  • Managed care administration
  • Medicaid program operations
  • Payer–provider data exchange
PLATFORM MODERNIZATION

Move without disrupting care

  • Legacy system modernization
  • Cloud migration & managed services
  • API and integration management
  • Custom application development
APPLICATION MANAGEMENT

Run it, don't just build it

  • Application maintenance & support
  • QA and test automation
  • 24x7 service desk
  • Onsite, nearshore, offshore, core-flex
USER EXPERIENCE

Systems clinicians will actually use

  • CX and UX transformation
  • Clinician and member portals
  • Workflow redesign
  • Mobile and self-service
COMPLIANCE & SECURITY

HIPAA as a system state

  • HIPAA and regulatory compliance
  • Data security & access governance
  • Vulnerability management
  • Incident response
AUTOMATION & RPA

Take the manual work out

  • UiPath, Pega, Blue Prism
  • Automation Anywhere
  • Power Automate
  • Process mining & redesign
STRATEGY & CONSULTING

Sequenced, costed, governed

  • IT strategy & roadmap
  • Business process consulting
  • Risk and change management
  • Technology implementation
Why this matters

Domain people who also happen to be engineers.

Our healthcare delivery teams bring significant healthcare domain knowledge alongside technology experience — in compliance, coding, prior authorization, HIPAA, managed care and related areas.

That means we can work inside your existing environment and move quickly to the business and technology problem, instead of spending the first quarter learning how healthcare works.

DOMAIN DEPTH WE BRING TO THE TABLE
Prior authorization Coding Compliance HIPAA Managed care Medicaid Utilization management Billing & claims Reconciliation Underpayment detection Denial prevention Payer operations Pharmacy User experience

Partnered across the platforms you already run

We work within your existing environment rather than arriving with a product to sell you.

Microsoft
AWS
Google
Claude
Oracle
Databricks
Salesforce
ServiceNow
Let's talk

Tell us what's on your roadmap.

If any of this is relevant to your environment, we'd like to understand where you're headed and see where we can help. No pitch deck — a working conversation with the right healthcare delivery lead.

Venky Venkateswaran Y&L Consulting, a YASH Technologies company. I'll personally coordinate the conversation with the right delivery lead for your environment.
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