Products

Protego Health
Protego Health
Medical Billing & RCM
Protego Health is an AI-powered denial prevention and appeals platform that reviews claims pre-submission against payer policies and generates appeal drafts post-denial.

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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.

Focus Areas

medical claim denial prevention automated appeals revenue cycle management AI in healthcare clinical workflow solutions digital healthcare

Business Intelligence

Key InvestorsMaccabee Ventures, American Gastroenterological Association, Good Company (Israel), P5 Health Ventures
PartnershipsOgden Clinic
TechnologyAI-powered rules engine, browser extension (Protego Copilot), API-built platform, cloud-native

What Physicians Need to Know

Medical Claim Denial Prevention
Protego Health utilizes an AI-powered rules engine to cross-reference claim inputs (payer, procedure, diagnosis) against a comprehensive database of medical policies, coding guidelines, and client-specific rules. It flags potential issues in real-time before claim submission, significantly reducing preventable denials (up to 46%).
Automated Appeals
When a denial occurs, Protego Health's Appeal Generator uses AI to extract key details, cross-reference relevant policies (LCDs, FDA guidelines), analyze progress notes, and automatically generate claim-specific appeal letters. This process can reduce the time required to research and file appeals by up to 91% and boasts a reported 97% win rate on appealed denials.
Revenue Cycle Management (RCM)
Protego Health's solutions are designed to boost RCM staff productivity, improve collection rates, and reduce the administrative burden on providers. The platform provides real-time denial prevention and automated appeals, transforming every claim into actionable intelligence.
AI in Healthcare
The core of Protego Health's offerings is its proprietary AI-powered platform, Guardian, which automates denial prevention and appeal generation by ingesting and analyzing claims data, clinical documentation, billing and coding guidelines, and payer policies.
Clinical Workflow Solutions
Protego Health's 'Protego Copilot' operates as a browser extension that sits within the RCM workflow, allowing for use with or without costly EHR integration. It embeds payer-specific policy and coding intelligence directly into existing web-based clinical and billing workflows.
Digital Healthcare
Protego Health provides a modern, intelligent approach to denial prevention and appeals through its AI-driven tools, enhancing revenue cycle operations and reducing administrative burden for healthcare organizations.
Key Differentiators
Protego Health offers a no-integration deployment model, embedding directly into existing web-based clinical and billing workflows without requiring traditional EHR integration. This significantly shortens time-to-value and reduces implementation burden. They also offer end-to-end coverage from prevention through appeal, unlike most tools that focus on only one aspect.
Technology Stack
Protego Health's platform is AI-powered and delivered as a multi-tenant SaaS solution. It operates via a browser extension (Protego Copilot) and can integrate with RCM systems via API. The system continuously updates regulatory guidance, CMS, AMA, CDC, FDA, and individual payer policies into one rules engine.
Physician Tip

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.

Products by Protego Health

1 product in the directory

Protego Health
Protego Health
Medical Billing & RCM
Protego Health is an AI-powered denial prevention and appeals platform that reviews claims pre-submission against payer policies and generates appeal drafts post-denial.

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Videos

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Press & Coverage

PR Newswire
Protego Health Announces Strategic Partnership with Utah's Ogden Clinic
Protego Health, a provider of AI-powered solutions for preventing and overturning denied medical insurance claims, announced a strategic partnership with Ogden Clinic, a multi-specialty medical group in Utah. This collaboration will advance revenue cycle innovation through Protego's proprietary suite of AI-driven tools.
2025-12
BioSpace
Protego Biopharma Raises $130 Million Oversubscribed Series B Financing to Advance First-in-Class AL Amyloidosis Program into Pivotal Study
Protego Biopharma, a clinical-stage biotechnology company, announced the completion of an oversubscribed $130 million Series B financing. The funding will advance their lead candidate, PROT-001, into a pivotal clinical trial for AL amyloidosis.
2025-12
BioPharma Dive
With $130M, Protego pushes forward a new type of amyloidosis drug
San Diego-based Protego Biopharma has raised $130 million in a Series B round to propel an experimental drug for amyloid light-chain (AL) amyloidosis into late-stage clinical testing. The drug, PROT-001, is designed to bind to and stabilize a protein that misfolds and toxically accumulates in people with AL amyloidosis.
2025-12
Fierce Biotech
Protego plans pivotal trial for AL amyloidosis prospect with $130M series B
Protego Biopharma is preparing to advance its amyloid light-chain (AL) amyloidosis prospect into pivotal testing following a $130 million Series B funding round. The funding will support the development of PROT-001, which aims to be the first disease-modifying therapy for AL amyloidosis.
2025-12
MedCity News
Startup Protego Bio Lands $130M for First-in-Class Drug's Pivotal Test in Rare Plasma Disorder
Protego Biopharma secured $130 million in Series B financing to advance its lead program, a potential first-in-class treatment for light chain amyloidosis, into pivotal clinical trials. The startup's drug, PROT-001, targets the proteins driving the disease before they cause significant damage.
2025-12
YouTube (Vendor Voices)
Using AI to Prevent and Appeal Healthcare Denials with Protego Health's Corey Feldman
Corey Feldman, CEO and Co-Founder of Protego Health, discusses how the company uses AI to prevent and appeal denied medical claims, primarily serving independent specialty provider groups, primary care, and RCM companies.
2026-07
SiliconANGLE
Protege raises $30M to grow governed marketplace for AI training data
Artificial intelligence data platform startup Protege Health Inc. announced a $30 million funding round to accelerate product development and expand its data network. The company focuses on providing high-quality, proprietary training data for AI development.
2026-01
Protego Biopharma
Protego Biopharma Appoints Jae B. Kim, MD, as Chief Medical Officer
Protego Biopharma announced the appointment of Jae B. Kim, MD, as Chief Medical Officer. Dr. Kim brings extensive experience in advancing novel therapies for cardiovascular and rare diseases.
2026-06

Frequently Asked Questions

Protego Health utilizes AI and machine learning to proactively identify and address potential claim denial issues before submission, optimizing the accuracy and completeness of claims. This includes real-time eligibility verification, coding accuracy checks, and identification of missing documentation, leading to a significant reduction in initial denial rates and a more efficient revenue cycle.
Protego Health's automated appeals process is designed for seamless integration with most major EHR and billing systems through secure APIs, minimizing disruption to your current workflows. Our AI-driven system analyzes denial reasons, gathers necessary documentation, and generates compelling appeal letters, significantly increasing the success rate of overturned denials and accelerating reimbursement.
Protego Health offers AI-powered solutions that streamline clinical workflows by automating administrative tasks, providing intelligent insights for care coordination, and assisting with documentation. These tools reduce physician burnout by freeing up time from manual processes, allowing them to focus more on patient care and improving overall operational efficiency.
Protego Health offers flexible pricing models, including subscription-based services and performance-based agreements, tailored to the size and specific needs of your organization. We provide comprehensive support, including dedicated account managers, 24/7 technical assistance, and extensive training during the implementation phase to ensure a smooth transition and optimal utilization of our platforms.
Protego Health prioritizes data security and regulatory compliance, implementing robust encryption protocols, access controls, and regular security audits to protect sensitive patient information in accordance with HIPAA and other healthcare regulations. Our platforms are built with privacy-by-design principles, ensuring that all digital healthcare solutions meet the highest standards for data integrity and confidentiality.
Protego Health has established strategic partnerships with leading EHR vendors, healthcare providers, and technology innovators to enhance our offerings and expand our reach. We are a financially stable company with a clear long-term vision focused on continuous innovation in healthcare AI, aiming to be at the forefront of transforming revenue cycle management and clinical efficiency for healthcare organizations.

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