JSON twin: https://www.healthaidb.com/software/protego-health.json
Protego Health
https://www.protegohealth.ai/for-providers
AI-powered denial prevention and appeal automation platform that reduces manual work for revenue cycle teams and generates payer-specific appeals.
Protego Health provides a SaaS platform (browser extension, API and appeal generator) that extracts claim/denial data, cross-references payer policies and coding rules, prevents denials in real time, and auto-generates policy-backed appeal letters to accelerate denial resolution and recover revenue.
yes
2023
P1338
2025-09-07
commercial (proprietary SaaS)
Reference tool: $35 per provider per month; pricing for appeal generator and denial prevention varies by use case — contact vendor for details; immediate trial/ROI without integration available.
subscription
2023
product
1.0
{
"company_name": "Protego Health",
"company_url": "https://www.protegohealth.ai",
"company_offices": [
"United States"
],
"company_founding": "2023",
"product_url": "https://www.protegohealth.ai/for-providers",
"categories": [
"revenue cycle management",
"denial management",
"appeals automation",
"AI-denials-management",
"clinical-administrative"
],
"market_segment": [
"enterprise",
"smb",
"rcm vendors",
"provider groups"
],
"links": [
"https://www.protegohealth.ai",
"https://www.protegohealth.ai/for-providers",
"https://www.protegohealth.ai/for-enterprise",
"https://elion.health/products/protego-health",
"https://elion.health/categories/ai-denials-management/products",
"https://marketplace.aviahealth.com/compare/81150/73089",
"https://pitchbook.com/profiles/company/812263-78",
"https://www.protegohealth.ai/privacy-policy",
"https://www.protegohealth.ai/terms-and-conditions",
"https://www.linkedin.com/company/protegohealth"
],
"summary": "AI-powered denial prevention and appeal automation platform that reduces manual work for revenue cycle teams and generates payer-specific appeals.",
"description": "Protego Health provides a SaaS platform (browser extension, API and appeal generator) that extracts claim/denial data, cross-references payer policies and coding rules, prevents denials in real time, and auto-generates policy-backed appeal letters to accelerate denial resolution and recover revenue.",
"target_users": [
"RCM teams",
"hospital billing departments",
"medical group administrators",
"revenue cycle managers",
"outsourced RCM vendors"
],
"specialties": [
"revenue cycle management",
"denials management",
"medical billing",
"appeals automation",
"clinical documentation review"
],
"regions_available": [
"United States",
"United Kingdom"
],
"languages_supported": [
"English"
],
"pricing_model": "subscription",
"pricing_details": "Reference tool: $35 per provider per month; pricing for appeal generator and denial prevention varies by use case — contact vendor for details; immediate trial/ROI without integration available.",
"license": "commercial (proprietary SaaS)",
"deployment_model": [
"SaaS",
"browser extension"
],
"os_platforms": [
"Web (browser extension)"
],
"features": [
"Real-time denial prevention checks during claim creation",
"Browser extension that reads claim inputs (payer, procedure, diagnosis, units, POS)",
"AI-powered rules engine referencing payer policies and coding guidelines",
"Denial ingestion and automated data extraction (payor, procedure, diagnosis, denial codes)",
"Policy cross-referencing to validate denials",
"Progress note and clinical data analysis to support appeals",
"Automated appeal generation with policy citations",
"Downloadable or directly submittable appeal letters",
"Managed services/contingency-based appeals handling",
"Denial triage and selection workflow",
"Case collaboration and appeal tracking",
"Reporting on win-rates and time-saved metrics",
"Support for uploads, data-dump, or direct integrations for supporting documentation"
],
"optional_modules": [
"Appeal Generator (automated appeal creation)",
"Protego Copilot (real-time claim guidance via browser extension)",
"Managed Services (white-glove denial appeal service)"
],
"integrations": [
"Zoho CRM (used for storing provider data)",
"Payer portals / insurer systems (directly or via file upload)",
"RCM systems / billing platforms (via APIs or data-dump)",
"EHRs / clinical systems (optional integrations / data upload)"
],
"data_standards": [],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA"
],
"certifications": [
"HIPAA (certified by Accountable)",
"SOC II Type 2 (Zoho CRM used for storage; Zoho is SOC II Type 2 compliant)"
],
"security_features": [
"Encryption (in transit and at rest)",
"Role-based access control (RBAC)",
"Audit logging",
"Single sign-on (SSO) / SAML",
"Two-factor authentication (2FA)"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Data minimization and limited data uploads",
"Support for anonymized uploads for analysis (where applicable)"
],
"data_residency": "",
"customers": [],
"user_reviews": [],
"ratings": [],
"support_channels": [
"schedule an appointment"
],
"training_options": [
"documentation",
"live_online"
],
"release_year": "2023",
"integration_partners": [
"Zoho CRM"
],
"id": "P1338",
"slug": "protego-health",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/protego-health.json"
}
}