ProCare Advantage

Lily drafts ProCare Advantage prior authorizations and verifies eligibility across Texas, and your staff approve every action before it's sent.

• Prior authorization

  Lily 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

  Lily captures the ProCare Advantage denial reason and drafts the appeal or resubmission on a prioritized worklist.

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

Does DataLily AI support prior authorization for ProCare Advantage?

Yes. Lily 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. Lily 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.