The use of AI to fight denials was the first article in Modern Healthcare's first newsletter of 2025. To me, the main takeaways were:

1) Protego Health is in the right place at the right time to take advantage of nascent but exponentially improving technologies (AI/LLM's) to help providers even the playing field.

2) While health systems like NYU are working on creating their own software, the customers we serve (Independent specialty provider groups, including those backed by PE firms) hava limited resources.

3) The AMA said that 80% of its members don't always appeal refusals because many don’t think they’ll be successful, have limited time, or need to provide urgent care. American Medical Association - we can help :)

According to Dr. Ferra of Deloitte as it relates to the use of AI to fight denials, "the use of automation could be the new normal." There are over $700 billion in annually denied medical claims. While there are many players in the space, there is a lot of work to be done - Tal Shulman, the Covered team, and I are proud to be part of the efforts to even the playing field for providers and patients.