All payers

Oscar Health

Lily drafts Oscar Health prior authorizations and verifies eligibility across Alabama, Arizona, Florida, and 17 more states, and your staff approve every action before it's sent.

What we handle

  • Prior authorization

    Lily drafts the Oscar Health auth from the chart with the right CPT and medical-necessity docs, then tracks status.

  • Eligibility and benefits

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

  • Requirement lookup

    Oscar Health's prior-auth rules by procedure, surfaced before you submit instead of after a denial.

  • Denials and appeals

    Lily captures the Oscar Health denial reason and drafts the appeal or resubmission on a prioritized worklist.

Lily drafts; your staff review and approve every Oscar Health submission, and DataLily AI never guarantees an approval.

Book a demo — pick a time

A 15-minute walkthrough of how Lily works Oscar Health.

Operates in
  • Alabama
  • Arizona
  • Florida
  • Georgia
  • Iowa
  • Illinois
  • Kansas
  • Michigan
  • Missouri
  • Mississippi
  • North Carolina
  • Nebraska
  • New Jersey
  • New York
  • Ohio
  • Oklahoma
  • Pennsylvania
  • Tennessee
  • Texas
  • Virginia
Does DataLily AI support prior authorization for Oscar Health?
Yes. Lily drafts the Oscar Health 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 Oscar Health?
Yes. Lily runs real-time eligibility and benefits checks against Oscar Health: 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