PEHP
DataLily AI drafts PEHP prior authorizations and verifies eligibility across Utah, and your staff approve every action before it's sent.
What we handle
Prior authorization
DataLily AI drafts the PEHP auth from the chart with the right CPT and medical-necessity docs, then tracks status.
Eligibility and benefits
Real-time PEHP checks before the date of service: coverage, copay, deductible, and out-of-pocket in one summary.
Requirement lookup
PEHP's prior-auth rules by procedure, surfaced before you submit instead of after a denial.
Denials and appeals
DataLily AI captures the PEHP denial reason and drafts the appeal or resubmission on a prioritized worklist.
DataLily AI drafts; your staff review and approve every PEHP submission, and we never guarantee an approval.
Book a demo — pick a time
A 15-minute walkthrough of how DataLily AI works PEHP.
Operates in
- Utah
- Does DataLily AI support prior authorization for PEHP?
- Yes. DataLily AI drafts the PEHP 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 PEHP?
- Yes. DataLily AI runs real-time eligibility and benefits checks against PEHP: coverage, copay, deductible, and out-of-pocket, returned as a summary your team confirms before the date of service.