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Books and reschedules appointments
Answers patients' billing questions
Reminds patients of balances and collects payment on the call
Confirms upcoming visits and reduces no-shows
Handles scheduling, reschedules, and cancels. Collects insurance details from patients on the same call, and logs info directly in your PMS.
Handles questions like "I thought insurance paid for this?" or "Why do I see two charges in my statement" by checking statements in your PMS/EHR. Explains charges, collects payments, and transfers to staff when needed.
Performs patient courtesy calls to explain balances (e.g., why insurance covered only 80%) and collect payment. Follows up across phone, SMS, and email to maximize collection success.
Contacts patients by phone, SMS, and email to confirm upcoming appointments and reduce no-shows.
Answers inbound calls, handles questions, and routes to the right place
Verifies patient benefits and plan details
Initiates and follows up on prior authorizations
Checks claim status, retrieves EOB, and extracts details from faxes
No more “press 1, press 2” menus; replace robotic phone trees with a conversational switchboard. Answers basic patient questions and redirects calls intelligently.
When portals fall short, Prosper’s agents call payers directly, navigating phone trees, waiting on hold, and speaking to reps to verify benefits. Questions and follow-ups are powered by our battle-tested Blueprints™ or tailored to your workflows.
Prosper’s agents call payers to check if prior authorization is required, initiate requests, and track the status of existing ones. They navigate decision trees, speak with representatives, gather details, and enter everything back into your EHR or system of record.
For claims not adjudicated after 30 days, Prosper’s agents call payers directly. Integrated with your EHR or system of record, they log results straight into your workflow.
Call payors to gather denial info and request resubmission
Electronic channels often don’t provide enough detail for appeals. Prosper’s AI Agents call payers directly, speak with representatives, and gather the denial information needed to file. They can request EOBs via fax, push back on errors, or request resubmission when appropriate.
Schedules annual check-ups
AI agents automatically call patients due for annual or quarterly check-ups if no appointment is on file. Follow up with text and email reminders to boost re-engagement and maximize revenue.
Handles prescription refill status and questions
AI agents check refill status, submit new requests, and remind patients about uncollected prescriptions, all synced with your existing systems.
Initiate Prior Authorizations and follow-up on issues
Answer Prescription Refill Status and Questions
Greets providers and patients
Provides claims information
Provides authorization information
Provides benefits information to providers and patients
Cut call times and reduce frustration by letting conversational AI handle initial routing for patients and providers.
AI agents respond to claims inquiries by connecting to your IT systems, retrieving status updates, and answering provider or patient questions in real time.
Automate prior authorization inquiries with AI agents that connect to your systems, verify providers or patients, and relay information naturally.
AI agents provide benefits information to providers and patients, including specific CPT details, through direct integration with your systems.
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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