Everything your office needs before a PA is submitted.
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Patient Intake & Readiness Score
Enter clinical data only — no patient identifiers. PathToApproval scores readiness, identifies blockers, and generates a personalized action plan before you submit a single form.
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Benefits Investigation Playbook
Select the patient's plan and get the exact call script, submission route, and red flags for that specific payer. No guessing which number to call or what to ask.
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PA Criteria — Drug & Payer Specific
Step therapy requirements, required documentation, HCPCS codes, and payer-specific clinical criteria for every drug and payer combination. Updated continuously.
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Denial Pathway Intelligence
A complete five-step escalation ladder from step therapy override through external independent review — including the state law protections most offices never know exist.
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AI-Personalized Appeal Letters
Five document types drafted by AI based on the patient's specific profile — medical necessity, peer-to-peer prep memos, step therapy override letters, and more.
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Reauthorization Workflow
Month-by-month timeline, required documentation checklist, and baseline tracking guide to protect against therapy gaps at the 12-month renewal.
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Affordability & Patient Support
Every savings program, independent foundation, and patient support resource — with eligibility criteria and enrollment contacts in one place.
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Specialty Pharmacy & Coding
Authorized specialty pharmacies, hub enrollment contacts, HCPCS billing codes, and J-code accuracy guidance for every drug module.
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HIPAA-Safe by Design
No patient identifiers are ever entered or stored. Clinical data only. Stateless sessions cleared on close. No BAA required from your office.