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PATIENT-SIDE HEALTHCARE ACCESS

A denial isn't
the final word.

Understand what happened, see what's missing, and prepare the next step with your agent—while you stay in control.

Open Maya's case See how ASSERA works

READ · PREPARE · ACT

You approve consequential actions.

WHY THIS MATTERS

Too few denials are ever challenged—even when appeals often succeed.

4.1M
prior-authorization requests denied in Medicare Advantage in 2024
11.5%
of denied requests were appealed
80.7%
of appeals were partially or fully overturned

Medicare Advantage · 2024 · Source: KFF analysis of CMS Medicare Advantage data, 2024

HOW IT WORKS

From a hard-to-read denial to a clear next step.

ASSERA keeps the work understandable, auditable, and under your control.

  1. 01

    Understand the denial

    See the insurer’s source language beside a clear, patient-side explanation.

  2. 02

    Compare requirements with evidence

    Check the administrative requirements against the records already in the case.

  3. 03

    Prepare the next step

    Bring the missing details together in a structured, reviewable workspace.

  4. 04

    Approve consequential actions

    Nothing is sent or submitted until you explicitly approve it.

OUR APPROACH

Built for patients and the agents they choose—not for autonomous decision-making.

Clarity before automation.

Source clarity

Insurer source language stays separate from ASSERA’s explanation, so provenance is always visible.

Deterministic checks

Administrative requirements are checked directly—never reduced to an appeal-success probability.

Structured agent access

Your agent can use a purpose-built read tool instead of guessing its way through an interface.

Human decision‑making

The patient remains the decision-maker for every consequential action.

SAFETY

Agency stays with you.

ASSERA makes the boundary between reading, preparing, and acting unmistakable.

READ
Your agent may inspect information in the case workspace.
PREPARE
Your agent may prepare material inside ASSERA when that capability is available.
ACT
Consequential or external actions require your explicit approval.

ASSERA is a demonstration of healthcare access navigation using synthetic data. It does not provide medical or legal advice.

A CLEAR NEXT STEP

A denial isn't the final word.

See how ASSERA turns a denial into a clear next step.

Open Maya's case