All payers

Merchants Benefit Administration

Lily drafts Merchants Benefit Administration prior authorizations and verifies eligibility, and your staff approve every action before it's sent.

  • Prior authorization

    Lily drafts the Merchants Benefit Administration auth from the chart with the right CPT and medical-necessity docs, then tracks status.

  • Eligibility and benefits

    Real-time Merchants Benefit Administration checks before the date of service: coverage, copay, deductible, and out-of-pocket in one summary.

  • Requirement lookup

    Merchants Benefit Administration's prior-auth rules by procedure, surfaced before you submit instead of after a denial.

  • Denials and appeals

    Lily captures the Merchants Benefit Administration denial reason and drafts the appeal or resubmission on a prioritized worklist.

Lily drafts; your staff review and approve every Merchants Benefit Administration submission, and DataLily AI never guarantees an approval.

Does DataLily AI support prior authorization for Merchants Benefit Administration?
Yes. Lily drafts the Merchants Benefit Administration 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 Merchants Benefit Administration?
Yes. Lily runs real-time eligibility and benefits checks against Merchants Benefit Administration: coverage, copay, deductible, and out-of-pocket, returned as a summary your team confirms before the date of service.
The pilot

A pilot that proves itself in days.

A product goes live and the results show up before the questions do.

  • NDA signed before we start
  • HIPAA-grade Business Associate Agreement (BAA) in place
  • Scoped to one high-impact workflow at a time
Ready to move forward?

Here’s what getting started looks like.

Setup time
< 1 day
Integration
No integration (Phase 1 pilot)
Contract
Month-to-month
HIPAA compliant · BAA included