Eligibility & Benefits
04 / 10

Know coverage before the visit.

Verify coverage, parse benefit detail, and return copay, deductible, out-of-pocket, network, and coverage status before the patient arrives.

3 workflows3 available nowBrowser-based — no API required

Eligibility is not just active or inactive. Staff still have to interpret benefit text, find the right service category, calculate patient responsibility, and copy results into the next system.

Workflow context

These workflows commonly involve clearinghouse portals, payer eligibility portals, regional health-plan verification systems, and customer scheduling or intake queues.

Coverage confirmed. Before the patient arrives.

Asteroid runs the eligibility check, parses the response, and returns structured benefit data — coverage status, network, copay, deductible, OOP, and covered service categories — ready for downstream workflows.

What Asteroid returns

  • Active / inactive coverage status
  • Plan and network detail
  • Copay by service type
  • Deductible met / remaining
  • Out-of-pocket max met / remaining
  • Covered service categories
  • Source timestamp and evidence
  • Exception queue for unclear or missing benefit data

Before

  • Log into payer or clearinghouse portals
  • Interpret messy 271 benefit responses
  • Find copay, deductible, and OOP fields
  • Copy results into scheduling or billing
  • Recheck when data is missing or unclear

After · with Asteroid

  • Submit patient and visit once
  • Eligibility checks run automatically
  • Benefit details are parsed
  • Patient responsibility is structured
  • Exceptions route for review

3 workflow templates

These reusable workflow templates can be configured around your payer mix, visit types, service categories, portal accounts, review rules, and output format.

270/271 check + benefit parsing

Clearinghouse-style payer portal

Browser agentCustomer portal login
Available

Eligibility verification

Regional health-plan portals

Browser agentCustomer portal login
Available

Eligibility / benefits check

Clearinghouse portals

Browser agentCustomer portal login
Available

Disclaimer

Third-party names 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.