Your teams already process electronic Benefit data, but benefit verifications and prior authorization status checks still require endless calls. Prosper AI Agents complement your workflows with automation, completing payer calls in under two hours, with 99% Accuracy and at a fraction of traditional cost.
Verifies patient benefits and plan details
Initiate Prior Authorizations and follow-up on issues
Answer Prescription Refill Status and Questions
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
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.
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
