Protego Health
Claimed
Protego Health
Protego Health is a platform that automates the process of preventing and, when necessary, appealing denied medical claims for healthcare providers. By integrating payer policies and medical records, it focuses on high-value claims, utilizing AI to identify appropriate codes, rectify denials, and generate appeal letters.
Product Overview
Security and Compliance Certifications: HIPAA
Protego Health is a platform that automates the process of preventing and, when necessary, appealing denied medical claims for healthcare providers. By integrating payer policies and medical records, it focuses on high-value claims, utilizing AI to identify appropriate codes, rectify denials, and generate appeal letters. This approach aims to reduce the administrative burden on providers and improve revenue cycle management.
Customers Served
Categories
Company Info
HQ Location
New York, New York
Founded
2023
Headcount
1-10
Total Funding
Not available
Latest Round
Not available
Latest Round
Not available
Company Socials
Vendor’s Notes
Use Cases
- Prevention: Protego’s sits within RCM workflows, and reads claim inputs in real time. The software cross references those inputs against coding guidelines and medical policies to flag issues before claims are submitted, preventing denials.
- Appeals: Using inputs from claims and ERA’s, Protego finds and surfaces the relevant policies, cross references the progress note, and generates claim-specific appeals up to 91% faster.
Core Differentiators
Protego Health is an AI-powered solution that cross references patient records, payor information & prior cases in order to automate appeals for denied medical claims. Protego boosts RCM staff productivity by dramatically reducing the time required to file appeals, and improves collection rates by upskilling employees and providing them with tools to ensure high quality appeals every time.
Customers
3
Verified customers
1.1
Median usage (years)
Type
0
1
2
3
Hospitals / Health System (3)
Specialty
0
1
Gastroenterology (1)
Opthalmology (1)
Showcased Customers
See all (3)Adonis
Claimed
Adonis Intelligence
Company Info
Founded: 2022
Headcount: 51-200
Customers
Verified Customers: 6
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 2
Adonis Intelligence provides actionable alerts, predictive analytics, and real-time reports to optimize revenue outcomes. The system integrates with EHR, billing, and practice management systems to enhance insights on collections, accounts receivable, claim denials, and payer performance. The platform helps healthcare organizations identify revenue roadblocks, prevent denials with real-time alerts, and improve cash flow with smart prioritization and comprehensive KPI tracking.
Other Categories
Arrow
Claimed
Arrow
Company Info
Founded: 2020
Headcount: 11-50
Customers
Verified Customers: 5
Customers Served: Hospital / Health System, Ambulatory Practice, Digital Health Provider
Product Overview
Security and Compliance Certifications: HIPAA
Arrow is a healthcare payment platform that provides solutions for both healthcare providers and health plans. Its key features include claims acceleration, predictive analytics, real-time claim status updates, and denial management for providers, allowing faster and more accurate payments. For health plans, Arrow offers automated claim adjudication, real-time payment facilitation, and enhanced payment integrity.
Other Categories
Claimable
Claimed
Claimable
Company Info
Founded: 2024
Headcount: 1-10
Customers
Customers Served: Ambulatory Practice, Digital Health Provider, Hospital / Health System, Patients, Life Sciences
Product Overview
Security and Compliance Certifications: HIPAA
Claimable is an AI-powered platform designed to help patients challenge unjust healthcare claim denials. It uses AI to generate and submit personalized appeal letters based on clinical research, policy details, and the patient’s medical history. The platform supports appeals for a wide range of treatments and accepts denials from major insurers, including Medicare and Medicaid. Claimable aims to streamline the appeals process with features like smart document scanning and real-time evidence matching.
Other Categories