Medication coordination & monitoring
Keep medication lists, changes, refill needs, pharmacy or provider follow-up, and client-reported concerns visible for appropriate escalation.
Healthcare is difficult to navigate. ASTELUME makes the next step clear.
A healthcare concierge for a clearer Journey through complex care.
Healthcare is spread across doctors, specialists, pharmacies, insurance companies, equipment suppliers, portals, phone calls, and paperwork. That leaves people trying to connect the pieces while they are already managing their health. ASTELUME brings the entire navigation process into one shared Journey—so you and your Navigator can see what is happening, what needs attention, who is handling it, and what comes next.
What ASTELUME coordinates
The work between care moments finally has one home.
Complex care is a chain of connected processes. ASTELUME helps a Navigator organize, coordinate, document, and follow through on each one—while the client can see what is happening and what comes next.
More than a checklist.Every action stays connected to the person's goal, the responsible party, the current barrier, the supporting evidence, and the next accountable movement.
Provider & specialist navigation
Identify human-reviewed options using needs such as network, location, availability, language, and accessibility—without implying a clinical ranking.
Provider outreach
Coordinate calls, referrals, records, intake requirements, status checks, and follow-up so outreach does not disappear into a voicemail or fax queue.
Appointments & preparation
Support scheduling, confirmation, rescheduling, transportation or accessibility needs, preparation steps, and the questions or documents needed for the visit.
DME & equipment coordination
Connect the equipment need to authorization, supplier outreach, delivery, setup, and verification that the item reached the person as expected.
Insurance & authorizations
Track requirements, missing information, submitted evidence, payer status, responsible parties, and the next follow-up needed to keep care moving.
Transitions & home readiness
Coordinate the practical work around discharge, recovery, receiving providers, equipment, follow-up care, and a safe handoff into the next setting.
Documents & movement evidence
Keep referrals, instructions, approvals, records, and verified updates attached to their purpose—not lost in a generic file cabinet.
Barriers, escalation & recovery
Make delays and interruptions visible, show who can resolve them, record their impact, and create a clear route back on track.
Communication & ongoing follow-through
Keep client updates, internal coordination, decisions, reminders, and next check-ins connected to the Journey so nothing depends on memory alone.
Need identified→Owner assigned→Outreach & coordination→Evidence verified→Next movement
ASTELUME supports care navigation and coordination. It does not prescribe, diagnose, change treatment, or replace a licensed clinician's judgment.
Why ASTELUME
Care should not become a coordination job you have to do alone.
The problem is rarely just finding information. It is keeping dozens of moving parts connected long enough to reach the next meaningful outcome.
Without a navigation home
The work becomes fragmented and invisible.
- Appointments live in different portals and calendars
- Referrals, authorizations, and equipment stall without a clear owner
- Families repeat the same story while trying to remember every detail
- No one can easily see what is moving, blocked, or waiting
With ASTELUME
Every Journey has an accountable next movement.
- One Journey organizes the work around the person
- An assigned Navigator coordinates the moving pieces
- Ownership, barriers, and waiting become visible
- The person always knows what is happening and what comes next
One Journey. Two connected perspectives.
Clarity for the client. A coordinated workspace for the Navigator.
The client and Navigator are looking at the same Journey for different reasons. ASTELUME gives each person the information, actions, and visibility appropriate to their role.
From the client's perspective
“I can understand my care Journey and participate without carrying it alone.”
ASTELUME gives the client a calm, plain-language view of their care-navigation experience and a direct connection to their assigned Navigator.
- See where I amUnderstand the current stage, recent progress, and what the Journey is working toward.
- Know what is happening nextSee the next movement, who owns it, what is waiting, and when follow-up should occur.
- Prepare for appointmentsKeep dates, instructions, questions, accessibility needs, and required documents together.
- Stay informed about coordinationSee meaningful updates on provider outreach, authorizations, equipment, referrals, and other moving parts.
- Find messages and approved documentsReturn to the information shared for my Journey without searching across texts, email, and portals.
- Raise a concern or ask for helpTell my Navigator when something changes, feels unclear, or creates a new barrier.
From the Navigator's perspective
“I can see the whole situation and move the right work forward.”
ASTELUME gives the assigned Navigator an accountable operating workspace for coordinating the non-clinical work between care moments.
- Build one connected JourneyOrganize priorities, providers, appointments, medications, equipment, authorizations, barriers, and supporting records.
- Know what needs attention todayFocus on meaningful movement, upcoming follow-up, new signals, and work at risk of stalling.
- Coordinate across responsible partiesTrack provider, payer, pharmacy, supplier, client, and internal outreach with clear ownership.
- Manage waiting and barriersSee what is blocked, who can unblock it, how it affects the Journey, and the route back on track.
- Document evidence and decisionsRecord what happened, what changed, what was verified, and why the next movement is appropriate.
- Keep the client meaningfully informedShare the right update in client-friendly language while preserving internal coordination boundaries.
One platform. Two service models.
The right guidance, in the right operating context.
ASTELUME keeps the person's Journey at the center while giving each Navigator the context, boundaries, and next steps needed to move care forward.
For individuals & families
Private Navigation
Private-pay clients work directly with a Perscira-hired Private Navigator in a personal, protected ASTELUME Journey.
- Consultation-first enrollment
- Thoughtful Navigator matching
- Client access to a visible, shared Journey
For organizations
Your contracted Navigators. One connected experience.
Organizations purchase Perscira for their programs. Their contracted Navigators use ASTELUME to manage assigned Journeys within the organization's program, policies, and service model.
- Organization-specific program context
- Assignment-based Navigator workspaces
- Clear accountability without cross-client visibility
How ASTELUME works
From complexity to the next clear movement.
- 01
Start with the real situation
A private-pay client begins with a consultation. A sponsored member begins through their organization's program. The Navigator learns the priorities, pressures, and immediate needs.
- 02
Build one Journey
Appointments, referrals, authorizations, equipment, barriers, decisions, and supporting evidence are organized around one shared path.
- 03
Work the next movement
The assigned Navigator coordinates the work, follows up with responsible parties, records what changed, and keeps the person informed.
- 04
See progress clearly
Everyone with permission can see the current movement, what is waiting, who owns the next step, and how the Journey has changed over time.
ASTELUME does not replace doctors, treatment, or clinical judgment. It gives the navigation work between care moments a clear operating home.
Private client demo
See ASTELUME from the client's point of view.
Follow a fully synthetic private-navigation Journey. See what a client sees: where they are, what their Navigator is coordinating, upcoming appointments, approved documents, messages, and the next clear movement.
Open the Private Client DemoWhat needs your attentionReview two orthopedic appointment options with Lloyd
Review this JourneyKnee replacement recovery · when you are ready
Your active Journeys
Separate goals, connected coordination
Each Journey keeps its own purpose, reference, status, and next movement.
Coordinate Coordination in progress
Recover safely after knee replacement
Journey reference # AST-JR-01048-01
Keep recovery needs connected from preparation through follow-up.
- Your Navigator
- Lloyd
- Next update
- Friday
- Your attention
- Review two appointment options
Understand Options being verified
Establish ongoing diabetes specialty care
Journey reference # AST-JR-01048-03
Create a dependable specialty-care and monitoring plan.
- Your Navigator
- Lloyd
- Next update
- Tuesday
- Your attention
- Nothing needed today
Across your Journeys
What is coming up
Every item identifies the Journey it belongs to.
Navigator update on insurance and equipmentKnee replacement recovery · Lloyd
○ No action nowEndocrinology availability updateDiabetes specialty care · Lloyd
○ Navigator follow-upThe public example now uses the same client-facing hierarchy as the secure portal.
The organization experience
Built for the Navigators your organization contracts.
Perscira gives each organization a governed operating environment. Contracted Navigators see the Journeys assigned to them, supervisors see the work they are accountable for, and program leaders gain appropriate operational visibility.
ASTELUME does not turn an organization's workforce into Perscira employees—and it does not give Navigators broad access across organizations.
Organization demos are guided and separate. Perscira will email or send an organization-specific demo link so decision-makers can review the contracted Navigator workflow, supervision, program visibility, and access model.
Trust by design
Clear boundaries are part of clear navigation.
Role-aware access
Every experience reflects who the person is and what they are authorized to do.
Explicit assignments
Navigators work from assigned Journeys—not an open directory of people.
Separated identities
Clients, payers, supporters, and workforce members receive distinct permissions.
Accessible by default
The experience is designed for clarity across devices, abilities, and moments of stress.
Access is part of coordination
People should not have to overcome the product before they can navigate their care.
ASTELUME is being designed to recognize language, accessibility, communication, and support preferences as part of the Journey—not as an afterthought.
Ask for support in the language you use
Clients can record language preferences and request interpreter or translated material support for coordinated care activities.
Make access needs visible before the next step
Mobility, hearing, vision, communication, transportation, and other access needs can be connected to the people coordinating the Journey.
Use plain language when the situation is already difficult
Status, ownership, waiting, and next actions are explained directly so clients do not have to decode internal healthcare language.
Find your way in
One front door. The right ASTELUME experience.
Private-pay clients, sponsored members, organization teams, and Perscira Private Navigators will each enter through secure, identity-aware access.