Prevent denials. Win appeals. Protect your revenue.
Protego Health helps physician practices and RCM billing teams prevent denials, automate appeals, and recover the revenue they’ve earned — while transforming every claim into actionable intelligence.
91%
researching, drafting, and submitting appeals
46%
Most denials aren’t clinical failures.
They’re workflow failures.
Most medical claim denials are preventable and stem from administrative or operational gaps and lack of visibility into individual payer policies.
15%
of medical claims are initially denied
Source: Premier
86%
of denials are preventable
Source: MGMA
$25
average cost to appeal a physician-billed denial
Source: MGMA
Meet Protego Guardian
Our AI tools embed payer-specific policy and coding intelligence directly into your billing workflow — catching errors at the point of order, clinical note, and claim creation — not after rejection. When denials do occur, research and appeal complex denials up to 91% faster.
Real-Time Denial Prevention
Denial prevention starts before the claim. Guardian checks payer-specific rules at the point of order, clinical note creation, and claim build in real time — surfacing errors with corrective guidance before the rejection or denial.
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National & Regional Payer Networks
Payer policies change constantly. Guardian tracks LCDs, payer-specific policies, and adjudication behavior in real time — preventing denials upstream and ensuring every appeal cites the right policy for the right plan.
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Automated Appeal Generation
When denials occur, Guardian generates policy-backed appeals using the exact language and documentation each payer requires.
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Guard what’s earned.
Fight for what's owed.
Fewer denials means less rework, faster cash flow, and more revenue collected.
Forewarned is forearmed
Protego Guardian's browser extension sits within the workflow of web-based EHRs, reading key details as you create orders, write clinical notes, and build claims.
Prevention is the best medicine
In real time, Protego Guardian runs those input combinations against our internal rules engine, which draws upon medical policies, coding guidelines, payment criteria, and your own internal rules.
Improved efficiency
Automation handles the repetitive work so your staff can focus on complex cases.
ROI from day one
Protego Guardian has transformed how healthcare organizations manage their revenue cycle.
Up to
46%
of denials prevented
Up to
91%
time saved
researching, drafting, and submitting appeals
What our customers are saying
The app is awesome for working ERA denials! The preventative tool helps me catch mistakes before they become denials, and the appeal generator allows me to work rejections and denials 10x faster than I could before. Their tools make my daily work so much easier.
Sara
AR specialist, 20 years experience in healthcare revenue cycle
The answer was spot on. I am amazed!!! The answer I received was so great because it indicated that the visual field would be covered, which would send a billing representative in the right direction for a valid diagnosis/covered indication.
Kari
RCM leader for 40-doc outpatient surgery center & ophthalmology group
In under 30 seconds, I had the answer to my question and was able to send the specific clause that indicated the need for a prior auth to my billing manager so she could call back and obtain the (needed) documentation.
Mary
Head of physician billing for 28-provider independent GI group
Trusted by provider groups across the country
