Your teams already process electronic benefit data, but benefit verifications and prior authorization status checks still require endless calls. Prosper’s AI agents automate these workflows, completing calls in under two hours with 99% accuracy — reducing costs, accelerating access, and freeing staff to focus on higher-value tasks.
Verifies patient benefits and plan details
Initiates and follows up on prior authorizations
Handles prescription refill status and questions
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.
Initiates and follows up on prior authorizations
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.
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.
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
