Benefits Investigation

Know what a plan covers before you fill

Coverage, copay and restrictions confirmed without the hold music, then written straight to the prescription.

93%
of payer calls handled without staff intervention
24 min
average time saved per case
0
residual state left behind by a test claim

The billing work nobody wants to do

Calls the payer so your team doesn’t need to

When a portal cannot answer, somebody has to ring the payer and wait. That somebody is no longer a technician who could be filling scripts, and the answers are in your queue by the time anyone looks.

Find out the real copay before you commit

You can test what a plan will actually pay before onboarding a patient, and it undoes itself straight away with nothing left behind to explain later. You get the real number without creating a real problem.

Secondary, medical benefit and DME, in the same place

The billing everyone puts off because it lives somewhere else is handled here with the rest of it. Nothing gets left for the end of the month because it was awkward to get to.

Frequently asked

The call adapts to what the representative says and asks follow-ups. Where a payer requires a human or refuses automated callers, the case routes to your team with everything already gathered.

Yes. Medical payers get their own fields for payer, plan, line of business and contact. Nobody is forcing them into BIN and PCN columns that were never meant for them.

Directly. A verification that comes back requiring authorization starts the PA package automatically, carrying the plan details it just confirmed.

See the full power of Asepha in 30 minutes