FOR ENTERPRISE

Enterprise denial prevention

Guardian operates directly within existing workflows, applying payer-specific policies, coding guidelines, and billing rules in real time. Designed for enterprise complexity, we process millions of claims across specialties, locations, and different payers without requiring changes to how your teams already work.

For RCM companies

Protego Guardian is built on APIs to allow your RCM company to utilize our software to tackle the most time-consuming and expensive part of revenue cycle management: denial management.

As AI is incorporated into healthcare revenue cycle management, the gap between tech-enabled companies and those with manual processes will grow. Outsourcing labor overseas is no longer enough to stay competitive.
Request a Demo
Request a Demo

Large Provider Groups

Denial rates vary by location, provider, and payer, and complexity compounds across acquisitions, geographies and specialties. Protego gives your revenue integrity team a single workflow to prevent denials at their source, and a unified view of AR performance with claim-level corrective steps.

For hospitals

What’s your number? Most hospitals write off denials under a set dollar amount due to limited resources. 
Protego Health's AI-powered denial and appeal tools allow you to fight for recoverable dollars, calling in payer-specific policy and coding rules. We maintain the up-to-date policies so your team doesn't have to.
Request a Demo
Request a Demo

Faster denial resolution at scale

Your denied claims tell a story. Protego Health helps ensure that story doesn't repeat itself.

Leverage your data

Protego Health helps providers utilize their own data on previously overturned denials to identify patterns, optimize appeal strategies, and prevent recurring issues, turning previous denials into future revenue protection.

Reduce cost to collect

By automating manual processes, the time required to research and appeal denials is reduced by up to 91%, even without integration.

Quality control

Humans make errors. Protego's proprietary AI-powered process ensures appeals are grounded in up-to-date payer policies and draw upon on data from previously successful appeals in order to increase win-rates.

Value before integration

Unlike most solutions which require costly and time-consuming EHR integrations upfront before they can deliver ROI, you can use Protego Guardian with or without EHR integration.

Compliance

Protego Health is SOC 2 Type II certified and designed to support HIPAA compliance requirements.