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Protego is committed to the truth.
Payer policies, local coverage determinations, and plan documents are constantly changing. These artifacts ultimately determine what is covered, and under what circumstances.
As your RCM team creates claims, Protego works alongside them, providing real-time alerts for any claims at risk of denial due to payor policy violations or coding initiative errors.
Inevitably, some denials will occur. When they do, Protego utilizes its comprehensive database of policies and coding initiatives, combined with learnings from large data sets of historically successful appeals. With these inputs, Protego creates fortified appeals to help you recover payment.
Denied Medical Claims:
Everyone Has a Story
My younger brother Russell was diagnosed with ulcerative colitis when he was in 9th grade. Over the following 4 years, his doctors tried a variety of treatments and medications. While his friends were walking across the stage for their high school graduations, Russell was checking into Mount Sinai for what would be the first of eight surgeries over the next 13 months. He spent 100+ days in the hospital due to complications.
The peak of Russell's sickness coincided with the peak of the post-service denials for his medical claims. No family should have to experience that. We started Protego to help providers prevent and appeal incorrectly denied claims before they fall on patients.
- Corey Feldman, CEO & Co-Founder
