From routine workflow support to real-time payer analytics — VCS serves the full complexity spectrum. Every tier is nurse-led, payer-agnostic, and built to protect your revenue.
Every tier includes SMART Model™ review and nurse-led oversight. Choose the level of clinical depth your caseload demands.
Routine cases.
Fast turnaround.
Specialty cases, complex payers, clinical escalation.
Recovery-focused. Revenue protection-driven.
Practice-wide analytics. Recurring insights.
IntelliPath, Availity, NaviNet, CoverMyMeds — these are tools VCS works alongside, not against. We are the clinical and operational layer above your payer technology stack.
VCS does not compete with IntelliPath, Availity, NaviNet, CoverMyMeds, or payer portals. VCS is the human clinical and operational layer ABOVE fragmented payer systems — interpreting what the portals return, escalating what the portals can't, and defending what the portals let through.
No add-ons for the basics. No surprises. These are the baseline deliverables on every authorization VCS touches.
5-dimension clinical scoring on every authorization — Specificity, Measurability, Achievability, Relevance, Timeliness.
Every authorization touched by a licensed LPN or RN — not administrative staff. Clinical eyes on every submission.
Real-time check against our payer-specific criteria database covering UHC, Aetna, BCBS, Cigna, Humana, and Medicare Advantage.
Complete prior auth documentation assembled by nurse reviewers — no partial submissions that trigger automatic denials.
Real-time status in your client portal — from intake through final determination, with stage timestamps and SLA tracking.
VCS represents your practice's interests — not the payer's. We are your clinical and operational partner, not a payer tool.
Authorization Intelligence turns your case history into a strategic asset. Monthly reporting on payer behavior, denial trends, SMART compliance, and documentation gaps — so you're ahead of denials before they hit.
Bring your top denial CPT codes and we'll give you a real quote — live, on the call. We'll tell you exactly which tier fits your practice and what the ROI looks like before you sign anything.