Billing & Revenue Cycle
- Claims automation
- Denial management
- AR tracking
From pre-op screening to billing, DataLily automates the workflows that slow down ASCs, surgery centers, surgeon offices, and independent practices.
Lily pulls every chart from your HIE and EMR, analyzes risks against the patient's clinical history, and flags issues before they hit the schedule.
R. Chen · 64M
Total Knee · CPT 27447Awaiting chart pull…
Lily handles patient outreach and pre-op coordination by phone, collecting medications, allergies, transport plans, and follows up with payers when needed.
Every Lily action surfaces as a task with clear AI reasoning. Staff approves, rejects, or modifies in one click, saving roughly 30 seconds per item with the human always in the loop.
Task queue
AI proposes · staff approvesTKA scheduled May 12 · 10 days out
Lily reads the chart, runs payer-specific medical-necessity logic, and drafts the auth letter, with citations to AAOS, InterQual, and the relevant guideline.
RE: Preparing case…
CPT-specific requirements, surgeon protocols, and payer rules live in one library. Fully configurable per surgeon, procedure, and payer, then applied automatically to every case.
Total Knee Arthroplasty
CPT 27447 · OrthopedicsReal-time visibility into every scheduled case: eligibility, prior auth, pre-op clear, procedure, coding, claim. Eight subagents working with full audit trail.
Eligibility
· InsurancePrior Auth
· InsurancePre-op clear
· SurgeryProcedure
· In ORCoding
· BillingClaim · ERA
· Billing