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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Protego Health
Protego Health

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Categories

Solutions

Description

Product Description:

Protego Health is a platform that automates the process of preventing and, when necessary, appealing denied medical claims for healthcare providers. By cross-referencing payer policies, billing/coding guidelines, and medical records, it can utilize AI to identify problems before them become denials, rectify denials, and generate appeal letters.

About Covered Health:

None provided

Product Description:

Artera ScheduleCare Helps Streamline Scheduling with 24/7 Online Appointment Booking for Patients

Online Self-Scheduling

  • Allow patients to book appointments 24/7 effortlessly by finding available slots and booking appointments without phone calls or staff involvement.

Automated Waitlisting

  • Minimize no-shows and optimize slot usage. Patients are notified about earlier openings, keeping your schedule full and optimizing your revenue.

Operational Efficiency

  • Eliminate time-consuming manual scheduling with an always-open digital front door that allows staff to focus on care rather than calling.

Enhanced Interoperability

  • Integrate smoothly with EHR systems for real-time data updates, reducing errors and streamlining operations.

Unified Experience

  • Create a personalized brand experience with your organization’s colors and logo, and streamline all patient communications through one platform, ensuring consistent messaging.

Analytics and Insights

  • Use Artera Harmony insights to track patient engagement and refine your messaging strategies, boosting retention and satisfaction.

Why Choose Artera ScheduleCare?

Streamline your scheduling process to acquire and retain more patients, improve operational efficiency, and enhance interoperability with a seamless, user-friendly scheduling experience for your patients.

Acquire and Retain Patients

  • Increase patient bookings and revenue
  • Leverage conversational messaging to secure the appointment and follow-up
  • Enhance patient retention via SendMsg API and via link embed in automated outreach
  • Include a self-schedule link in population health campaigns for efficient scheduling and new patient acquisition

About Artera:

Artera, a SaaS leader in digital health, transforms patient experience with AI-powered virtual agents (voice and text) for every step of the patient journey. Trusted by 900+ provider organizations — including specialty groups, FQHCs, large IDNs and federal agencies — engaging 100 million patients annually. Artera’s virtual agents support front desk staff to improve patient access including self-scheduling, intake, forms, billing and more. Whether augmenting a team or unleashing a fully autonomous digital workforce, Artera offers multiple virtual agent options to meet healthcare organizations where they are in their AI journey. Artera helps support 2B communications in 109 languages across voice, text and web. A decade of healthcare expertise, powered by AI.

Founded in 2015, Artera is based in Santa Barbara, California and has been named a Deloitte Technology Fast 500 company (2021 - 2024), and ranked on the Inc. 5000 list of fastest-growing private companies for five consecutive years.

Compatibility level

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Clients

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Product Capabilities

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.

Protego sits within RCM workflows, and reads claim inputs in real time. The software cross references those inputs against billing/coding guidelines and medical policies in order to flag issues before claims are submitted, preventing denials. When denials do occur, Protego dramatically reduces ( up to 91%) the time it takes to research and generate an appeal. It also prevents staff from spending time on the wrong things by indicating where denials were indeed valid.

Artera ScheduleCare offers 24/7 online self-scheduling (patients can book appointments at their convenience), automated waitlisting (meaning patients are notified if earlier appointment slots become available), and real-time EHR data read & write, ensuring up-to-date scheduling information.

Use Cases

Description:

A hopsital or specialty provider group is struggling with denied medical claims, and wants a solution to help reduce the human capital required to overturn them. We are primarily working today with outpatient claims, but are in pilot discussions with several hospitals as well. 

Pediatric use cases:

This is relevant across specialties 

Users:

- RCM team

- CFO/COO

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

Prevention and Appeal in the same engine: Protego's intelligencs pulls together billing/coding guidelines and specific payer policies. Using that technology, we can prevent denials at the point of claim creation by reading claim inputs in real time, running them against those rules, and flagging potential errors. On the back end, since some denials are inevitable, we can automate the appeals using that same intelligence engine. 

Incumbent RCM software companies: Move slowly, denials not a core focus area, and with older solutions, the tech is not easy to use or modernize. Our sole focus is excellence in the prevention and addressing of denials. 

New Entrants / Direct Competitors: Very new, and in a fragmented physician market, there are billions of dollars in denials to attack. Our focus is on the truth. What does the payer say they will cover, and how does that match up to what was done?

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

Rule-Based Scheduling Capabilities 

  • Help patients quickly find suitable appointment slots based on provider specialty, location, insurance type or condition, while providers benefit from a customizable directory to present their schedules. 

Advanced EHR Integration

  • Artera offers discrete writeback capabilities across many leading EHRs

Keywords

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Artera ScheduleCare: Enhance Interoperability

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Artera ScheduleCare

Downloads

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Company Details

Founded in 2015

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