Pricing · Denial Defense for Specialty Practices

Three ways to stop
losing revenue to denials.

A value ladder from self-serve playbook access to full nurse-reviewed denial defense. Pick the tier that matches how much help your team needs right now — every tier keeps your existing automation stack intact.

Book a Consultation → Talk to Us About Full Defense

Use your portals. Keep your automation. Let VCS handle the complexity behind them. We are the human clinical and operational layer above fragmented payer systems — not a replacement for your technology stack.

Three Denial-Defense Tiers

Self-serve to fully managed — climb the ladder as denials climb.

Every tier is HIPAA-conscious, payer-agnostic, and built around real-time appeal and overturn work. Choose the level of clinical depth your denial volume demands.

Tier 01
Denial Defense Playbook
Self-serve access to our denial recovery reference library — appeal templates, payer-by-payer denial code lookup, and CPT-specific guidance. No nurse involvement.
Self-Serve
Free / low-cost subscription.
Approve online — no sales call required.
📖 Entry Tier
What's included
✓
Payer-by-payer denial code reference (UHC / Aetna / BCBS / Cigna / Humana / Medicare)
✓
Appeal letter templates by CARC / RARC code
✓
CPT-specific denial guidance (23 codes + growing)
✓
Self-serve overturn documentation checklist
✓
Weekly denial-pattern email updates
✓
No nurse involvement — your team handles auths

Self-serve.
Fast onboarding.

★ Most Popular
Tier 02
Playbook + Analytics
Everything in Tier 1, plus SMART compliance scoring, payer behavior dashboards, denial trend analytics, and monthly executive reporting.
Analytics Tier
Monthly subscription.
Priced by practice size + payer mix.
📊 Core Differentiator
What's included
✓
Everything in Tier 1 — playbook, templates, CPT guidance
✓
SMART Compliance Score (5-dimension, monthly)
✓
Payer behavior tracking & reporting
✓
Denial trend analytics (monthly)
✓
Documentation gap analysis
✓
Overturn rate benchmarking by payer & CPT
✓
Authorization aging & expiration risk tracking
✓
Executive dashboard with exportable reporting

Self-serve plus intelligence.
Most-picked tier.

Tier 03
Full Denial Defense
White-glove. VCS RN reviewers handle your authorizations end-to-end, file appeals, run peer-to-peers, and defend denials through overturn.
Full-Service
Premium pricing per case.
Custom quote by volume + complexity.
⚖️ Premium Tier
What's included
✓
RN-led denial review & triage
✓
Appeal packet preparation by nurse reviewer
✓
Peer-to-peer (P2P) preparation & scheduling
✓
CARC / RARC code analysis & respond
✓
Payer escalation management
✓
Overturn advocacy through final determination
✓
Post-denial documentation review
✓
Tier 1 + Tier 2 included

White-glove.
Revenue protection-driven.

Not sure which tier fits?

Talk through it with a senior VCS clinical lead.

15 minutes. No pitch deck. Bring your top denial CPT codes and we'll recommend the tier with the best fit — live, on the call — and tell you what the ROI looks like before you sign anything.

Book a Consultation → For Practice Leaders