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Most denials aren’t clinical failures. They’re workflow failures.
80% to 90% of medical claim denials are preventable and stem from administrative, operational, or technical gaps.
08%
of medical claims are
initially denied
Source: MGMA
86%
of denials are preventable
Source: MGMA
$25
Source: MGMA
average cost to appeal a physician-billed denial
Meet Protego Guardian
Reduce denials before they happen. Guardian embeds payer-specific policy and coding intelligence directly into your billing workflow — catching errors at the point of creation, not after rejection. When denials occur, remediate complex cases up to 91% faster.

Real-Time Denial Prevention
Guardian scrubs claim inputs against payer-specific rules as claims are built — not after they’re rejected. Errors get flagged with specific corrective guidance.
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Automated Appeal Generation
When denials occur, Guardian generates policy-backed appeals in minutes using the exact language and documentation each payer requires.
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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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Proven Results
Protego Health’s AI-powered solutions have transformed how healthcare organizations manage their revenue cycle with results
you can take to the bank.
46%
Denials prevented
Claims analyzed and optimized monthly
91%
Time saved
Reduced time to create effective appeals

Impact Protego Can Make
Guard What’s Earned.
Protect What’s Owed.
Protego Health gives revenue cycle teams the tools to work smarter. Fewer denials mean less rework, faster cash flow, and more time spent on strategy instead of firefighting.
Fewer Denials Upfront
Catch problems before they become claim rejections and revenue loss.
Faster Appeal Turnaround
Policy-backed submissions move through payer queues with fewer questions.
Better Team Efficiency
Automation handles the repetitive work so your staff focuses on complex cases.
Stronger Compliance
Stay current with payer rules and coding standards without manual tracking.
Forewarned is forearmed
Protego’s browser extension sits within your workflow, reading key details as you generate claims (payor, procedure, diagnosis, units, POS, etc).
Prevention is the best medicine
In real-time, Protego runs those input combinations against our internal rules engine, which draws upon medical policies, coding initiatives, payment criteria, and your own internal rules.
What Our Customers Are Saying
Healthcare leaders share their experiences with Protego Guardian.
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