FirstCare
Lily drafts FirstCare prior authorizations and verifies eligibility across Texas, and your staff approve every action before it's sent.
Prior authorization
Lily drafts the FirstCare auth from the chart with the right CPT and medical-necessity docs, then tracks status.
Eligibility and benefits
Real-time FirstCare checks before the date of service: coverage, copay, deductible, and out-of-pocket in one summary.
Requirement lookup
FirstCare's prior-auth rules by procedure, surfaced before you submit instead of after a denial.
Denials and appeals
Lily captures the FirstCare denial reason and drafts the appeal or resubmission on a prioritized worklist.
Lily drafts; your staff review and approve every FirstCare submission, and DataLily AI never guarantees an approval.
- Texas
- Does DataLily AI support prior authorization for FirstCare?
- Yes. Lily drafts the FirstCare auth from the chart with the required CPT and medical-necessity docs, surfaces it for your staff to approve, then tracks status. We never guarantee an approval, only a complete, on-time request.
- Can DataLily AI verify eligibility and benefits with FirstCare?
- Yes. Lily runs real-time eligibility and benefits checks against FirstCare: coverage, copay, deductible, and out-of-pocket, returned as a summary your team confirms before the date of service.