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