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Healthcare billing · RCM · HIPAA

Payer portals weren'tbuilt for Jira tickets.

Prior auth, eligibility, denials — shipped by a US team that understands RCM workflows.

40 prior auths per physician per week. Staff burning 13 hours on portals with no API. Offshore built automation that worked in demo and failed on edge cases. Tylt delivers draft-and-approve agents and billing integrations with HIPAA-aware senior review. Prove it on your last 50 real cases first.

Book a scoping callSee how it works →
✓HIPAA & BAA-ready engagements
✓RCM workflow expertise
✓Shadow eval on historical cases
Tylt Workspace · Shadow eval · Prior auth queue
shadow mode · PHI-safe replay
42 would draft · 6 flagged · 2 for review
Replay — last 50 prior auth cases (de-identified)
UHC portal — MRI lumbar, clinical docs attached
would ship
Aetna — specialty drug, step therapy exception
flagged
Availity 270/271 — eligibility batch for Monday clinic
would ship
Denial appeal — missing modifier, resubmit package
would ship
BCBS — out-of-network exception, peer-to-peer prep
review
vs offshore: ~4 weeks per portal workflowTylt estimate: 3–5 days per workflow
40
Prior auths per physician per week (AMA)
13 hrs
Staff time per week on PA alone
10×
Faster than offshore on RCM workflows
50
Cases in a typical shadow eval
The RCM ops director

Your workflows don't fit a ticket template

Every payer is a different portal, fax, or phone tree. Offshore devs need you to spec what your PA staff already knows by heart.

Tylt for healthcare billing
✓Product lead learns your PA, eligibility, and denial workflows
✓Draft-and-approve — staff stays in control, agents do the assembly
✓Senior engineer owns HIPAA, audit logs, and integration safety
✓Shadow eval on de-identified historical cases before go-live
✓Works with your PM/EHR stack — not a rip-and-replace
Offshore healthcare dev
✗Can't navigate payer-specific edge cases without you
✗Demo automation breaks on real portal changes
✗You write specs for workflows that live in staff's heads
✗HIPAA concerns slow every deployment
✗Missed auth = cancelled procedure — the pain is visceral
RCM-focused

Prior auth, eligibility, denials — product engineering for billing

Built for billing companies and multi-site groups drowning in portal work.

Workflow-native specs

Our PM shadows your process and writes specs in the language your billing team actually uses.

Draft-and-approve agents

Agents assemble docs and draft submissions; staff approve before anything hits a payer portal.

HIPAA-aware engineering

BAAs, audit trails, least-privilege access — production-grade, not prototype-grade.
The delivery model

From messy ask to production in days

No six-week discovery phase. No ticket queue. One continuous loop — spec, build, eval, ship — with senior people accountable at every step.

01

Your ask

A Slack message, a 30-minute call, a messy paragraph — however you actually communicate today.

02

Product spec

Our product lead returns scope, success metrics, and what we're not doing — same day.

03

Senior review

A named engineer signs off on approach, risks, and architecture before a line ships.

04

Build & eval

Agentic workers build at speed; seniors review every merge. Shadow eval on your data.

05

Production

Staging in days, pilot in weeks. Handoff docs, observability, 30-day fix window.

The formula

It takes all three.

A model supplies none of what makes great software. You bring the product expertise — what to build and how you'll know it's right. We bring the AI and engineering expertise, plus the agentic system that turns it into reviewed, production-grade code. Drop any one of the three and you get plausible code that doesn't fit, doesn't scale, or never ships.

You bring this

Product expertise

Your product expert

One person on your side owns what to build and how you'll know it's right — the requirements up front and the acceptance testing at the end. Nobody knows your business like you do.

It does what your business actually needs
Tylt brings this

AI + engineering expertise

An AI-native senior engineer

One of our top engineers — fluent in both the model and the architecture — owns the quality bar, reviews everything the agents produce, and rejects what only looks right.

It works as expected and scales to your daily active users
Tylt brings this

The system we built

Our agentic worker system

A purpose-built harness puts a configurable fleet of agent workers to work under that engineer's direction, doing the physical build at speed. Dial it up or down to match your pace.

  • Coding
  • Specs
  • Documentation
  • Testing
  • Deployment
It ships fast, without the headcount or the bill

= a great product

Software that does exactly what it's supposed to do — and scales to the daily active users you need it to.

Three options

Offshore vs agency vs Tylt

Offshore is cheap until you count your time. US agencies are quality until you see the invoice. Tylt is the third option — onshore accountability at offshore economics.

Tylt
  • Senior engineers accountable by name
  • Product people write the specs
  • Ship small features in days
  • Prove it on your data before full price
  • US hours, daily async updates
  • Total cost competitive with offshore
  • You own all code & IP
  • No minimum headcount or lock-in
Offshore shop
  • Senior engineers accountable by name
  • Product people write the specs
  • Ship small features in days
  • Prove it on your data before full price
  • US hours, daily async updates
  • Total cost competitive with offshore
  • You own all code & IP
  • No minimum headcount or lock-in
US agency
  • Senior engineers accountable by name
  • Product people write the specs
  • Ship small features in days
  • Prove it on your data before full price
  • US hours, daily async updates
  • Total cost competitive with offshore
  • You own all code & IP
  • No minimum headcount or lock-in
90-day pilot

Start with eligibility or prior auth

The workflow with the clearest finish line and the most felt pain.

Week 1 — case replay

50 de-identified cases through shadow eval. Ship vs flag vs review.
  • Under your BAA
  • No PHI leaves your control
  • Kill clause

Weeks 2–3 — draft-and-approve pilot

One payer or one workflow live with staff approval gate.
  • Named team
  • Fixed price
  • Audit log from day one

Day 90 — scale across payers

Add workflows, practices, or keep running it yourself.
  • Multi-site ready
  • No lock-in
  • 100% IP yours

Run the numbers

RCM: engineering cost vs dedicated PA headcount

Compare Tylt to the FTEs and offshore bench you're already funding.

Your current team

Tick “Uses AI” for anyone already on Claude Code, Copilot, etc.
$/yr
$/yr
$/yr

Assumptions

1.30×

Base salary → true cost (benefits, tax, equipment, overhead). Industry standard ≈ 1.3×.

360 hrs

How much agent time it takes us to deliver one developer-month of reviewed output. Higher = more conservative.

Cost reduction vs your in-house team

74%less with Tylt

Your team, loaded

$52,000/mo

With Tylt

$13,690/mo

You save / year

$459,720

$38,310/mo · ~1.4 effective dev-months matched

Get this quote
FAQ

Healthcare billing & RCM questions

HIPAA, prior auth, and switching from offshore.

Send one workflow teardown and 50 de-identified cases

Shadow eval, spec, and fixed pilot price in five days. HIPAA-aware. Named senior team.

Book a scoping call

Typical reply within a few hours · Pilot spots via the bar above