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.
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.
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.
Decisions before the deadline
- AI-assisted contract analysis
- Pre-submission coding validation
- Predictive analytics on denial patterns
- Enterprise data management & governance
Stop the leakage upstream
- Prior authorization workflow
- Underpayment detection
- Billing and claims management
- Reconciliation automation
Administration that keeps pace
- Utilization management support
- Managed care administration
- Medicaid program operations
- Payer–provider data exchange
Move without disrupting care
- Legacy system modernization
- Cloud migration & managed services
- API and integration management
- Custom application development
Run it, don't just build it
- Application maintenance & support
- QA and test automation
- 24x7 service desk
- Onsite, nearshore, offshore, core-flex
Systems clinicians will actually use
- CX and UX transformation
- Clinician and member portals
- Workflow redesign
- Mobile and self-service
HIPAA as a system state
- HIPAA and regulatory compliance
- Data security & access governance
- Vulnerability management
- Incident response
Take the manual work out
- UiPath, Pega, Blue Prism
- Automation Anywhere
- Power Automate
- Process mining & redesign
Sequenced, costed, governed
- IT strategy & roadmap
- Business process consulting
- Risk and change management
- Technology implementation
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.
Partnered across the platforms you already run
We work within your existing environment rather than arriving with a product to sell you.
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.
