About Protego Health
Protego Health is an AI-powered healthcare company focused on preventing medical claim denials and streamlining the appeals process. The company offers solutions that analyze medical claims against payer policies and coding guidelines to identify and prevent potential denials before submission. Their platform also generates claim-level appeals using a comprehensive database of policies, coding initiatives, and historical appeals data.
For physicians and healthcare providers, Protego Health’s tools aim to reduce administrative burden, improve collection rates, and boost revenue cycle management (RCM) staff productivity. Their services include a web extension for real-time denial prevention, an appeal generator, and a reference tool for verifying medical necessity. The system is designed to integrate with most web-based EHRs without requiring complex technical integrations or disrupting existing workflows. Protego Health’s solutions are intended for ambulatory practices, hospitals/health systems, and RCM companies.
The company’s mission is to act as a shield against unjust medical claim denials, safeguarding healthcare providers and their patients. The founding of Protego Health was inspired by co-founder and CEO Corey Feldman’s personal experience with his brother facing substantial medical bills due to incorrectly denied claims.
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| Key Investors | Maccabee Ventures, American Gastroenterological Association, Good Company (Israel), P5 Health Ventures |
| Partnerships | Ogden Clinic |
| Technology | AI-powered rules engine, browser extension (Protego Copilot), API-built platform, cloud-native |
What Physicians Need to Know
For physicians, Protego Health stands out by significantly reducing the administrative burden associated with medical claim denials and appeals. The system's real-time denial prevention catches errors before claims are submitted, ensuring providers get paid for the care they deliver and patients receive the treatment they need. The automated appeal generation saves valuable staff time, allowing teams to focus on more complex cases and improving overall collection rates. The 'human in-the-loop' design ensures that while the AI surfaces problems and solutions, your staff always makes the final decision, maintaining control over your practice's revenue cycle. Protego Health also provides a unified view of AR performance with claim-level corrective steps, supporting data-driven AR management.
Protego Health's Guardian platform is designed for rapid, low-lift deployment and integrates with most major web-based EHRs (such as AthenaOne, eCW, ModMed, AdvancedMD, gGastro) without disrupting current workflows or requiring complex technical integrations. The platform operates as a browser extension, allowing it to work within existing RCM workflows with or without costly EHR integration.
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