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