VA Live
Real-Time Authorization Determinations
Get instant authorization coding and rules determinations inside your Authorization platform.
Upgrading Your Authorizations Process
VA Live applies Virtual Examiner® coding, reimbursement, and compliance logic to authorization requests in real time. It returns line-level findings within your existing workflow so your organization can accelerate research, route exceptions, and selectively automate approved actions while retaining control of every authorization decision.
Real-time line-level coding determinations
400+ configurable reason codes
Say goodbye to coding and rules research
Human review, routing, approval, denials, pends
Integrates right into your Authorizations Platform
Establish automatic CCI edits
Custom build your own auto-denials and actions
Disclaimer: VA Live does not independently approve or deny authorization requests. Final decisions, workflow rules, and provider communications remain controlled by the client.
5 Steps to Increased Authorization Automation
Authorization Submitted
Request submitted via portal, EDI, or integrations.
Structured Intake Validation
Data is normalized, validated, and enriched for accuracy.
VA Live Coding & Rules Review
Real-time AI-driven coding and payer rules applied.
Determinations & Reasoning
Detailed reasons to deny or pend for clinical review.
Client Decision Workflow
Customize your automated denials and approvals.
Excelerating Human Decision-Making
Eliminate Coding and Rules Reseach
Healthcare coding changes too frequently for authorization teams to research every requirement manually. VA Live applies Virtual Examiner® logic in real time and returns relevant coding determinations directly within the authorization workflow—helping your team make faster, more consistent decisions without searching disconnected code sets, manuals, and payer policies.
Why Manual Research Breaks Down →
CPT®, HCPCS, and diagnosis codes are governed by changing requirements involving medical necessity, place of service, modifiers, frequency limits, age, sex, specialty, and code combinations. Many of these requirements change quarterly, creating an unrealistic burden for authorization staff.
What VA Live Reviews in Real Time →
VA Live applies coding, reimbursement, and compliance logic at the line level to identify issues, exceptions, and relevant reason codes before the authorization decision is made.
What Changes for Your Team →
Your staff still controls the final decision, but no longer needs to begin every review with manual research. VA Live brings the applicable logic into the workflow so reviewers can focus on judgment, exceptions, and next actions.
Controlled Authorization Automation
Let's Get Started
Whether you already use Virtual Examiner® or are exploring PCG for the first time, we’ll help you identify the most practical path to VA Live.
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