See VCS in Action — Veritas ClearPath Solutions

Module 01

Executive Dashboard

MTD/QTD/YTD KPIs with revenue waterfall — total authorizations, approval rate, denial rate, and revenue impact in a single view
8-week approval trend and denial rate trend with canvas charts updated in real time as case data changes
Payer performance comparison across UHC, Aetna, BCBS, Cigna, Humana, and Medicare Advantage — see which payers are slowing your pipeline

Try the Executive Dashboard

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Total Auths

284

+12% MTD

Approval Rate

94%

+6pp YoY

Revenue Impact

$1.2M

Protected MTD

Top Denial

Med. Necessity

23% of denials

Approval Rate Trend (8wk)

Revenue by Status

65% Approved

Module 02

Authorization Tracker

6-tile KPI snapshot: Total auths, approval rate, denial rate, appeal success rate, avg turnaround, and revenue at risk — live from the production case database
SMART Score per case (0–100) — immediately surfaces cases below the 80-point threshold before they become denials
SLA flagging: cases over 7 days are At Risk; over 14 days are Delayed — color-coded in the queue with payer-by-payer turnaround benchmarks

Try the Auth Tracker

veritas-clearpath-solutions.polsia.app/dashboard.html

284

Auths MTD

94%

Approval Rate

2.4d

Avg Turnaround

$48K

Revenue at Risk

76%

Appeal Success

87

Avg SMART

Approved VCS-2024-0284 — UHC — 27447 SMART 92

Pending VCS-2024-0283 — Aetna — 96413 SMART 78

Denied VCS-2024-0281 — Cigna — 62323 SMART 64

Approved VCS-2024-0280 — BCBS — 93306 SMART 88

Module 03

Denial Intelligence

Denial reason breakdown by category — not-medically-necessary, missing documentation, step therapy, authorization gap — with percentage and trend over time
CPT code analysis: which codes are generating the most denials, by payer, with risk scores (0–100) that predict future denials before submission
Root cause categorization surfaces systemic issues so you fix the workflow, not just appeal the case

Try Denial Intelligence

veritas-clearpath-solutions.polsia.app/dashboard.html

Denial Reasons

Med. Necessity

62%

Missing Docs

48%

Step Therapy

31%

Auth Gap

19%

High-Risk CPT Codes

27447 38% denial HIGH

96413 24% denial MED

62323 31% denial HIGH

33249 18% denial MED

Module 04

CPT Denial Defense Library

23 CPT codes across 9 specialties — each with top 3 denial reasons, interactive documentation checklists, and copy-ready appeal letter templates
Payer-specific criteria for UHC, Aetna, BCBS, Cigna, Humana, and Medicare — the exact policy language reviewers use, surfaced at the point of submission
Risk score (0–100) per code, color-coded High/Medium/Low — so your team prioritizes clinical documentation where it moves the needle most

Try the Defense Library

veritas-clearpath-solutions.polsia.app/defense-library.html

27447

Total Knee Arthroplasty

HIGH

96413

Chemo IV Infusion

MED

62323

Epidural Injection

HIGH

33249

ICD Insertion

MED

Top Denial Reasons

1. Conservative therapy not documented (3–6 mo.)

2. BMI threshold not addressed (<40 required)

3. Radiographic evidence outdated

Required Documentation

✓ X-rays within 12 months (joint space loss)

✓ 3–6 month PT/cortisone documentation

✓ BMI + functional outcome assessment

UHC Criteria

3-month PT minimum + BMI <40 without exception letter

Module 05

HCaaS Compliance Score

5-dimension SMART compliance scoring (0–100) per client practice: Specificity, Medical Necessity, Appeal Timeline, Record Completeness, Treatment History
6-month trend history per client — see whether compliance is improving or degrading, and which dimension is the weak point driving denials
Critical alerts panel surfaces practices below the 85-point threshold before they appear as audit findings or payer escalations

Try the HCaaS Module

veritas-clearpath-solutions.polsia.app/hcaas.html

Premier Orthopaedics

91

Specificity

Med. Necessity

Appeal Timeline

Record Compl.

Treat. History

+4pts vs last month ↑

Pain & Spine Associates

71

Specificity

Med. Necessity

Appeal Timeline

Record Compl.

Treat. History

▼ Below 85-pt threshold — alert active

See VCS in action
before you book a call.

Unlock the full walkthrough

5 modules. One system that recovers revenue.

Executive Dashboard

Authorization Tracker

Denial Intelligence

CPT Denial Defense Library

HCaaS Compliance Score

Let's talk about your
denial patterns.

See VCS in actionbefore you book a call.

Unlock the full walkthrough

5 modules. One system that recovers revenue.

Executive Dashboard

Authorization Tracker

Denial Intelligence

CPT Denial Defense Library

HCaaS Compliance Score

Let's talk about yourdenial patterns.

See VCS in action
before you book a call.

Let's talk about your
denial patterns.