Can it prioritize by dollar value and deadline?

That’s the categorization step: every swept denial carries its claim value and its position against the appeal window, so the queue your team sees each morning already has the oldest and largest at the top. Scope the sweep against your payer mix and worklist shape.

Claims & Denials

Denial Management Automation

Turn the denial queue into a worked queue: every denial swept from the payer portal into one structured list, categorized by reason and deadline, and the rework executed back through the portal, with the fight-or-fold call left where it belongs, with your team.

This workflowExample systems: national payer portals

StatusComing soon

AccessBrowser agent

AuthCustomer portal login

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Step by step

What this workflow covers

Denial management is a queue problem before it’s a claim problem. Denials scatter across payer portals, each with its own reason codes, wording, and appeal windows, and working them means first finding them all, then understanding each one, then deciding, then doing. This workflow covers the mechanical share of that on national payer portals.

01Sweep the payer portal’s denial worklist and pull each denial into one structured queue: the reason code, the payer’s exact wording, the remittance detail, the claim’s value.
02Categorize the queue by what the payer actually said and where each denial sits against its appeal window, so the oldest and largest stop hiding among the rest.
03Route each denial to the decision it needs: correct and resubmit, appeal, or accept. That call is a person’s, made with the full record attached.
04Execute the decided path back through the portal: file the corrected claim or assemble and submit the appeal from the documentation provided. Provided data only; nothing invented to complete a form.
05A reason that doesn’t map, a claim that can’t be confidently matched, anything ambiguous surfaces to a person with the portal’s wording.

The fight-or-fold decision is a person’s, always: the agent never decides which denials to contest, only makes sure every denial arrives at that decision categorized and on time.

Most of a denial analyst’s day is collation, not judgment.

The published breakdown of what’s actually automatable in the revenue cycle puts denial management honestly: triage yes, the appeal argument stays human. What that means operationally is that most of a denial analyst’s day goes to assembling the queue that judgment needs, portal by portal, screen by screen, not to the judgment they were hired for. Automate the collation and the execution, and the analyst’s day becomes the decisions.

At scale

What runs today

These denial-management agents are in the catalogue pipeline. The per-claim loop underneath them, claim status, denial retrieval, and appeals, is the sibling workflow: that one answers one claim’s question, this one works the pile. As a program, sweeps run on schedule across the payer mix and the combined queue arrives categorized each morning. If the denial queue is the current pain, scope a build against your payer mix; the category is the claims and denials workflow library.

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Questions

Frequently asked questions

Altitude. That workflow is the per-claim loop: check a status, retrieve a denial, file an appeal. This one is the queue layer above it: sweep every denial from the worklist, categorize the pile, route each to a decision, and execute what’s decided. They compose; they don’t overlap.

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Disclaimer

Third-party names, including government agencies and registries, are used only to identify systems commonly involved in healthcare operations workflows. Asteroid is not affiliated with, endorsed by, sponsored by, or certified by those third parties unless expressly stated. Workflow availability depends on customer authorization, account permissions, configuration, and applicable system terms.