Protego Health

Protego allows providers to proactively reduce insurance denials by incorporating intelligent recommendations based on payor-specific policies and coding guidelines directly into the claim creation workflow. Our tool sits alongside your RCM team as they work, and reads the claim inputs that determine coverage - payor, procedure, diagnosis and more.  Using the same engine that generates appeals, our software cross references those inputs against coding initiatives and medical policies, flagging issues before claims are submitted, and preventing denials....all without integration required. 

When denials do occur, reduce the time it takes to remediate complex denials by up to 91%. Once you upload your denial, Protego surfaces and references the relevant policies, as well as the key components from the progress note. With the click of a button, your team can automatically generate a claim-specific appeal.