FOR PROVIDERS

Fewer denials. Faster appeals. More revenue collected.

Protego Health helps provider groups of all sizes and specialties recover what they’re owed.

Protego Guardian tools can prevent up to 46% of denials and reduce time to create effective appeals by up to 91%.

Detect

Fix issues with payer-specific guidance

Your team gets clear recommendations based on actual payer rules.
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Correct

Identify denial risks at or before claim submission

Guardian reads your claim data in real time — payer, CPT, HCPCS, ICD, modifiers, and more — and flags rule violations that may lead to denials.
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Recover

Create AI-powered, payer-specific appeals

When denials do occur, triage denials and recover revenue faster.
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The cost of inaction

Preventable denials lead to wasted labor, revenue delays, and revenue leakage. That's not a payment problem – it's a process problem. The solution is better tools, not additional headcount.

Numbers based on an average month of denials for a 10-provider specialty practice
4,400
claims per month
660
denials per month
Source: Premier, 15% rate
$16.5K
monthly labor cost of re-working denied claims
Source: AHIMA, $25/claim
$165K
per month in potentially lost and/ or delayed revenue

Our benefits

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.

Workflow embedded

Empower RCM staff without changes to your workflow or time-consuming integrations.

Immediate impact

No heavy IT lift or month-long interfacing and integration work. No project plan or manager resource required. See ROI in weeks, not months.

The status quo is broken

Your team sees the denial, but not the path forward. Without clear next steps, and with staff stretched thin, appeals and resubmissions are delayed or skipped, leading to missed filing deadlines and lost revenue.

With Protego Health, prevent denials and recover revenue

Guardian is there to help at every stage of the revenue cycle - validating orders and clinical notes in real time for adherence to individual payer policies, flagging coding/policy violations before claims go out, and generating citation-backed appeals in minutes when denials come back.

Supporting your team within minutes of implementation

Compatible with nearly every
web-based EHR

No need to leave your existing workflow and no time-consuming technical integrations.

Human in-the-loop design

Protego Guardian surfaces the problems and the fixes. Your staff makes the call.

Easy to implement

Implementation is instant for most clients, providing immediate support with as little as 30 minutes of initial onboarding required.
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Our Solutions
Our Solutions

Trusted by provider groups across the country

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Guardian was quick to deploy and immediately enhanced front-end claim accuracy by applying payer-specific rules in real time. We saw denial reductions in the first week, and performance has continued to improve as more local payer policies have been added. My staff love the tool; I love the results.
Jeff
Chief Financial Officer, Ogden Clinic

FAQs

What makes Protego Guardian different?

Payer policies, local coverage determinations, and plan documents are constantly changing, ultimately determining what is covered and under what circumstances. Protego inserts the relevant policies, in real time, directly into the workflow to prevent denials and address AR. We maintain those policies so your team can focus on what they do best.

How long does implementation take?

Most products can be operational within minutes of signing, with teams averaging just 30 minutes of initial training to start using the platform. Most groups are analyzing claims and preventing denials on day one.

Does Guardian work with our EHR (AthenaOne, eCW, ModMed, AdvancedMD, gGastro, etc.)?

Guardian integrates with most major web-based EHRs without disrupting your current workflow. There's no rip and replace, no downtime, and no complex technical integrations required.

Who makes the final decision on claims and appeals?

Your team does. Guardian surfaces the problems and the solutions, but your staff always makes the call. It's designed to support your people, not replace them.

What payers does Guardian cover?

Guardian analyzes claims against the policies of all major payers. The platform continuously updates as payer guidelines change, so your group stays current without manual burden.

How much can we expect to recover?

Results vary by group, but our clients prevent up to 46% of denials and recover significant revenue through smarter appeals. Request a demo to see what's possible for your specific situation.

Can Protego fight my denials for me?

We offer a white-glove service for clients that want to offload their AR using our in-house experts and our proprietary AI-powered tools.

What is the minimum provider size you will work with?

At present, we are working with groups that have at least 7 billing providers, but don't hesitate to contact us to help you build a solution that might be right for your specific needs.