Intake Management — VCS Authorization Intelligence System™

Intake Queue

New Intake Form

Total

—

all intakes

Today

—

submitted today

STAT

—

need immediate action

Incomplete

—

missing required info

SLA Breached

—

>4h no action

Avg First Action

—

hours to first action

ID	Patient	Payer	CPT Codes	Urgency	Status	SLA	Submitted	Assigned To	Docs
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Authorization Urgency

Patient Demographics

Patient Name * Required

Date of Birth

Member ID

Phone

Address

Ordering Provider

Provider Name

NPI Number

Practice Name

Phone

Fax

Facility

Facility Name

Tax ID

Facility Address

Insurance / Payer

Payer * Required

Plan Type

Group Number

Insurance Member ID

Effective Date

Clinical Information

CPT Codes — type and press Enter or comma

ICD-10 Codes — type and press Enter or comma

Date of Service

Diagnosis Description

Clinical Notes

Authorization Details

Referring Provider

Prior Auth Number

Clinical Documentation

Drag & drop files here, or browse

Imaging, lab results, clinical notes, referrals — PDF, JPG, PNG

Intake Detail