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Schedules and reschedules appointments
Responds to patients billing questions
Coutesy calls to remind of balance and collect payment
Calls patients for existing appointments or new ones
Use AI to Schedule new or existing patients, reschedule and cancel. In the same call, collect insurance information and have that notes in the PMS.
Answers Billing questions about statements received. "I thought insurance paid for this?" or "Why do I see two charges in my statement" are questions Prosper AI's agents can answer. The AI is connected to your PMS/EHR and is able to check the billing statements, answer questions and take payments. If necessary, it can always transfer to a live representative.
Outstanding balances of patients are sometimes difficult to collect. Use Prospers AI Balance reminder agents to perform courtesy calls to patients, provide information on why insurance has paid only 80% and collect payment. Combine SMS, Email and Phone on outbound callls.
Avoid No-shows by contacting users on email, text and converastional Phone Calls.
Picks-up the phone, answers questions and redirects
Verifies patient benefits and plan details
Initiate Prior Authorizations and follow-up on issues
Check Status and follow-up questions, ask for EOB and extract from Fax
No-one likes the press 1, press 2 recordings. It's just annoying. Change it to a conversational switchboard that can be intelligent to redirect to the right department, or answer the initial questions patients have.
When electronic or portal information is insufficient, Prosper AI Agents get on the phone, navigate phone trees, wait on hold and speak to representatives to extract benefit information. The specifics on what to ask for, and follow-up questions can be customized from our Battle-Tested existing Blueprints or totally customized to you.
AI Agents pick-up the phone and call payors to check if Auth is requited, initiate it and check the status of an existing one. AI Agents navigate decision trees, speak to representattives, gather information and put it back into the EHR/your system of record
Claims that have not received adjudication after 30 days require a portal check or a phone Call. Prosper AI Agents perform those phone calls, already integrated into your EHR or system of record so that the information is provided directly into your existing workflow
Call payors to gather denial info and request resubmission
Electronically you don't get enough information for an appeal. Prosper AI Agents perform phone calls to Payors, speak to a representatives and gather all details about the denial to file an appeal, including requested the EOB with a Fax. Additionally, AI Agents can have a conversation on the phone to request resubmission or pushback on errors.
Schedule annual check-ups
Trigger AI Phone Calls for re-engagement campaigns for annual or quarterly check-ups if no appointment has been scheduled for the patient. Complement the phone calls with a text and email to ensure you maximize revenue.
Answer Prescription Refill Status and Questions
AI Agents can connect to your systems and inform patients on prescription refills status, create new requests and remind patients of existing medications that have gone uncollected.
Greet Providers and Patients
Provide Claims Information
Provide Authorization Information
Provide Benefits information to providers and patients
Respond to claims inquire questions, and provide all necessary information with AI Agents that speak in a human-like way by connecting to your IT systems and replying to questions.
Automate Prior Authorization inquiries by using AI Voice Agents that are connected to your systems and can verify providers or patients and give information back in a human-like way.
Leverage AI Voice Agents to provider Benefits information, including specific CPT information, in a converastional way.
Put Prosper’s AI voice agents to work — and free your team from manual calls, so they can focus on higher-value care.
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