Your business depends on efficiency, but human-based manual calls to insurers make your margins thin. Prosper AI transforms your business into a tech-enabled model by automating phone calls to payors for benefits, prior authorization, and claim status. You reduce labor costs, improve client results, and strengthen your competitive edge with scalable automation.
Verifies patient benefits and plan details
Initiates and follows up on prior authorizations
Checks claim status, retrieves EOB, and extracts details from faxes
Call payors to gather denial info and request resubmission
Verifies patient benefits and plan details
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.
Initiate Prior Authorizations and follow-up on issues
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.
Check Status and follow-up questions, ask for EOB and extract from Fax
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.
SOC 2 and HIPAA compliant with 99.99% uptime, built to meet the standards of healthcare enterprises.
Independently audited security controls to safeguard sensitive healthcare data
Protects PHI with strict privacy safeguards and Business Associate Agreements
Deploy Prosper in the cloud or on-premise to meet your IT and compliance needs
Monitor every call with dashboards that track accuracy and performance at scale
Faster calls. Lower costs. Higher accuracy. All with less effort from your team.
Automates phone-based workflows to slash manual effort and lower costs without sacrificing performance.
Drives more appointments, tighter scheduling, and better provider utilization. Reduces denials with accurate benefit checks, prior auths, and timely claim follow-ups.
Reviews every call, delivering near-perfect accuracy at scale, outperforming human agents.
Use our AI platform with the tools you already run — whether it's Kareo, AdvancedMD, AthenaCollector, or a custom RCM stack.
Provide your guidelines
Test and refine internally
Launch live calls and iterate
Provide feedback and train the AI
Scale AI agents to more call types, and ask why you didn’t launch AI agents before
Trusted by healthcare organizations to handle critical operations with accuracy and consistency
COO at Northeast OBGYN
President
