Managed Care Services

Lily drafts Managed Care Services prior authorizations and verifies eligibility, and your staff approve every action before it's sent.

• Prior authorization

  Lily drafts the Managed Care Services auth from the chart with the right CPT and medical-necessity docs, then tracks status.

• Eligibility and benefits

  Real-time Managed Care Services checks before the date of service: coverage, copay, deductible, and out-of-pocket in one summary.

• Requirement lookup

  Managed Care Services's prior-auth rules by procedure, surfaced before you submit instead of after a denial.

• Denials and appeals

  Lily captures the Managed Care Services denial reason and drafts the appeal or resubmission on a prioritized worklist.

Lily drafts; your staff review and approve every Managed Care Services submission, and DataLily AI never guarantees an approval.

Does DataLily AI support prior authorization for Managed Care Services?

Yes. Lily drafts the Managed Care Services 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 Managed Care Services?

Yes. Lily runs real-time eligibility and benefits checks against Managed Care Services: coverage, copay, deductible, and out-of-pocket, returned as a summary your team confirms before the date of service.