50%

of patients resolved by AI without reaching staff

9 → 3 FTEs

call center employees redeployed to higher-value work

~$350K

Annual call center savings

— Nathan Woelfel, COO at Synergy Health

"I highly highly highly recommend Prosper AI. Everything is going right on plan. They’ve taken every step to make sure that we are happy. They put in the hard work and detail to make this successful.”

— Tammy Timm, COO, Northern Illinois Foot & Ankle

Customer Profile

Customer:

Northern Illinois Foot & Ankle

Type:

Podiatry Group

Locations:

EHR:

ModMed

Use Cases:

Appointment Scheduling (New & Existing Patients), Switchboard, After-Hours Coverage, Waitlist Management

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About Northern Illinois Foot & Ankle

Northern Illinois Foot & Ankle is a multi-location podiatry group serving patients across the Chicago metro area.

With a multi-location call center fielding the full volume of patient requests, including scheduling for new and existing patients, insurance inquiries, after-hours calls, and surgical referrals, the practice needed a scalable solution that could maintain consistent, high-quality patient interactions without continuing to grow its administrative headcount.

The Challenge: Rising Costs, Inconsistent Service, and a Call Center That Couldn't Keep Pace

Northern Illinois Foot & Ankle faced five compounding operational pressures:

  • Cost squeeze: Staffing costs rising year-over-year while insurance reimbursements declined, squeezing margins with no relief in sight
  • Service inconsistency: Staff turnover and bad days created uneven patient experiences across locations; a call that went poorly could mean a lost patient
  • Competitive pressure: Patients won't wait more than two minutes on hold, and competitors with faster response times were a real risk
  • Insurance complexity: Medicare Advantage plans were frequently misidentified, requiring manual network checks and creating errors that rippled into billing
  • Offshore rejection: A prior attempt to supplement capacity with offshore agents failed because patients consistently refused to engage

The result: a 9-FTE call center that was expensive to run, difficult to staff, and still couldn't guarantee a consistent patient experience.

The Solution

Northern Illinois Foot & Ankle deployed Prosper AI to relieve its overburdened call center staff, operating as a 24/7 intelligent switchboard, handling inbound scheduling calls for both new and existing patients, and managing after-hours call coverage.

How it works:

  • AI answers all inbound calls and schedules directly into Northern Illinois's EHR without staff involvement 
  • New patient intake: collect full registration details and complete insurance eligibility checks for first-time callers
  • Provider-specific scheduling rules are enforced consistently — the right appointment type, the right provider, every time
  • Intelligent switchboard routing connects callers directly to the correct department extension in a single transfer
  • After-hours coverage routes calls to voicemail, an on-call line, or a next-day callback task depending on urgency, with no after-hours staff required

Implementation: From Pilot to 24/7 Coverage in 20 Days

Northern Illinois Foot & Ankle's COO Tammy Timm led the rollout with a cross-functional team that included representatives from every affected department: scheduling, billing, and insurance verification.

The Prosper AI team held daily 15-minute calls throughout the ramp to review calls in real time, adjust workflows, and iterate as the team learned. When Northern Illinois wanted to change routing decisions mid-rollout, the team adapted without rebuilding. When Prosper AI identified that a share of transferred calls were going unanswered, NIFA updated their phone system settings the same day.

"We held daily 15-minute calls with Prosper to refine every detail. This allowed us to adjust things as we went, even when we changed our minds about certain workflows. Any struggles were minimal because of the daily tweaking during the rollout."

Tammy Timm,
COO, Northern Illinois Foot & Ankle

Implementation timeline:

  • Week 1–4: SOP adaptation and internal testing
  • Week 5 (Mar 19): 2 hours/day live with Prosper monitoring
  • Week 6 (Mar 26): 8 hours/day live
  • Week 7 (Apr 8): 24/7 fully deployed
  • Week 9+ (May 1): Full ramp

Impact

Metric Result Impact
Patient Call Resolutions ~50% of patient calls resolved end-to-end The majority of patients get what they need without ever reaching a human
Call Center Headcount 9 FTEs reduced to 3 Existing staff redeployed to higher-value work
Annual Cost Savings ~$350K saved Significant reduction in operational overhead without reducing headcount
FTE Hours Saved 728–1144 hrs saved per year Consistent weekly relief regardless of call volume fluctuations
Patient Trust 94% favorable sentiment Patients engage comfortably with the AI
Time to Full Coverage 20 days from first live call to 24/7 Fast time to value with a structured, phased ramp

What's Next: The AI solution for the entire patient journey

With Prosper AI, the full patient journey runs on one platform. Given the success of the program, Northern Illinois Foot & Ankle is already expanding into new workflows:

  • Benefits verification: outbound verification calls to payors, allowing patients to update plan details without reaching a staff member
  • Billing agent: launching in June 2026, starting with inbound billing calls with outbound to follow
"If I were starting over, I wouldn't change anything. Support has been excellent — it is refreshing to work with a company that doesn't ignore your needs after the contract is signed."

Tammy Timm,
COO, Northern Illinois Foot & Ankle

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VP of Healthcare Provider Solutions

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