All payers

Prime Health Services

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

  • Prior authorization

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

  • Eligibility and benefits

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

  • Requirement lookup

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

  • Denials and appeals

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

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

Does DataLily AI support prior authorization for Prime Health Services?
Yes. Lily drafts the Prime Health 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 Prime Health Services?
Yes. Lily runs real-time eligibility and benefits checks against Prime Health Services: 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