Faster Authorization Decisions. Better Organized Evidence.
AVC is an authorization-intelligence layer for VA Community Care dental workflows. It turns a treatment package into one structured, source-linked case, so the people who make the decision can see the evidence instead of reassembling it.
AVC prepares the decision. Humans make it.
The work today
The case arrives in pieces.
A referral in one document. An authorization in another. A treatment plan, a periodontal chart, radiographs, a clinical narrative. Somewhere across them sits the answer to a narrow question: does what is being requested line up with what was already authorized, and is the evidence to support it actually here?
Today a person reconstructs that by hand, one document at a time, on every case.
Scattered evidence
The facts that matter are spread across documents in different formats from different systems.
Silent conflicts
A narrative references one tooth, the procedure table references another. Nothing flags it.
Unclear scope
Whether a service sits inside the existing authorization is a judgment call made before the context is assembled.
Rework
A missing document surfaces late, and the case makes another round trip.
What a reviewer sees
One case. Every finding traced back to its source.
Every material flag carries the evidence it came from, the rule that produced it, the version of that rule, and the reason, so a reviewer can agree with it, override it, or ask a better question.
Implant placement, Tooth #19
- Source
- Treatment Plan
- Page
- 2
- Location
- Procedure line 4
Every extracted fact keeps this link. A reviewer can open the original page and check it rather than trusting the extraction.
Illustrative case
Referral Authorization context
Synthetic example. Not a real case.
Extraction, Tooth #30
Consistent with documented authorization scope.
Implant placement, Tooth #19
Appears beyond documented authorization scope.
- Sources
- Authorization Document, page 1Treatment Plan, page 2
- Rule
- AUTH-SCOPE-014v2026.07
- Disposition
- Pending
Periodontal evaluation, Quadrant 2
Periodontal charting not located in the submission.
Human disposition is recorded on every flag. AVC does not resolve these itself.
The platform
Three capabilities, in sequence.
Structured Intake
Uploaded referrals, authorizations, treatment plans and clinical documents become structured case data, with every extracted fact still linked to the page and line it came from.
Authorization Analysis
Each requested procedure is evaluated against the authorization context, the anatomy, the evidence present, and the applicable rule, then given one of eight fixed classifications.
Authorization Summary
The case is presented as one decision-ready package: what is being requested, what supports it, what is unresolved, and what still needs a human.
Human authority
AVC prepares the decision. Humans make it.
AVC organizes evidence and applies documented rules. It does not exercise clinical or benefits judgment, and it is built so that it cannot. Where a question needs a person, the product says so and routes it. It does not resolve the question by guessing.
A technical failure never becomes an authorization conclusion.
AVC does not
- Determine Veteran eligibility
- Diagnose dental disease
- Approve or deny treatment
- Replace a licensed clinician
- Submit a request without a human
Who we build for
Two sides of the same case.
Dental Organizations
Practices, multi-location groups and DSOs preparing VA Community Care treatment packages. Before the package leaves the office, see what is missing, what conflicts, and what may need additional approval.
Network Administrators
Administrators, TPAs and utilization-management teams processing dental authorization volume. A specialized intelligence layer that standardizes case readiness and stays explainable.
We are looking for organizations that will tell us the truth.
AVC is early. We are talking to dental practices, billing and operations teams, and administrator-side reviewers to understand where the real cost sits in this workflow, including the possibility that it does not sit where we think.
If you handle VA Community Care dental authorizations, we would like 25 minutes of your time.