Medical Billing
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
Initiate Prior Authorizations and follow-up on issues
Check Status and follow-up questions, ask for EOB and extract from Fax
Call payors to gather denial info and request resubmission
Verifies patient benefits and plan details
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.
Initiate Prior Authorizations and follow-up on issues
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
Check Status and follow-up questions, ask for EOB and extract from Fax
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.
We offer scalable solutions, real-time analytics, and 99.99% uptime to help you deliver exceptional customer experiences.
Programmatic exchange of secure files for batch processing and scheduled data transfers. Ideal for large datasets and compliance requirements.
Directly in the platform upload or download files with drag-and-drop simplicity. Perfect for one-time imports, quick data updates, and ad-hoc file transfers.
Programmatic exchange of secure files for batch processing and scheduled data transfers. Ideal for large datasets and compliance requirements.
Directly in the platform upload or download files with drag-and-drop simplicity. Perfect for one-time imports, quick data updates, and ad-hoc file transfers.
Faster calls. Lower costs. Higher accuracy. All with less effort from your team.
Healthcare organizations reduce cost by automating phone-based workflows with AI, reducing manual effort without sacrificing performance.
Using AI Agents in Patient Access increases revenue through more appointments, better scheduling, and improved provider utilization. RCM benefits include fewer denials due to accurate benefit checks, prior authorizations, and timely claim follow-ups.
Every call is reviewed by AI-powered Quality Assurance agents. Deliver consistent, near-perfect quality that outperforms 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
Internal
Testing/Iteration
Launch Calls and iterate
Provide feedback and train the AI
Ask why you didn’t launch AI Agents before.
Prosper has built Agent Blueprints, which are battle-tested instruction for AI Agents that are ready to use.
President
COO at Northeast OBGYN
