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Figure 1 shows the three primary synthetic pathways for NAD + : the de novo pathway, the Preiss Handler pathway, and the salvage pathway

What we handle: All PA types: prospective, concurrent, retrospective, urgent, emergency, and drug/medication PAs Payer portal submissions across 50+ EHR systems including Epic, Cerner, Athenahealth, eClinicalWorks, NextGen, and more Concurrent review tracking with automated deadline alerts Denial follow-up, peer-to-peer coordination, and formal appeals Eligibility verification and PA requirement checks before submission State-specific compliance for AZ (AHCCCS/WISeR), CO (ColoradoPAR/HCPF), WA (HCA/ProviderOne/WISeR), and all 50 states By the numbers: $399/week (volume discounts to $299/week) with no benefits overhead, no hidden fees 99.2% clean claim rate across 800+ providers 48-72 hour onboarding from signed agreement to live support 70% cost savings compared to in-house PA staffing 50+ EHR platforms supported Compliance credentials: SOC 2 Type II, ISO 27001, HIPAA compliant, and MGMA Corporate Member